You can find the complete MDHHS TST & TTT Certification Protocols and Policies document here.

The guidelines for TST Candidates have been determined by the Master Regional Trainers (MRTs), who review this listing annually.

Qualifications for TST Certification

  • Be a health care worker who has experience with injections, universal precautions, sterile technique, and be responsible for assessing risk of TB at your facility;

  • Have at least one of the following credentials issued from an accredited institution: MD, DO, DDS, DVM, PharmD, PharmBS, RPh, NP, PA, RN, BSN, MSN, LPN, EMT, EMT-P, CPhT, RMA, or CMA.

Medical Assistants will need to prove certification or registration from an accredited institution in order to attend a TST Workshop. If you are a CMA or RMA, immediately after you register for a TST Workshop, please scan and email a copy of your MA certification or registration to This email address is being protected from spambots. You need JavaScript enabled to view it.. Please indicate the workshop ID#, date and instructor. For more informationabout this new requirement, please se the FAQs page on our website.

Participants must:

  • Register for their Workshop using the Online Portal ( prior to the start of the Workshop.

  • Complete a post-Workshop survey to receive their certification card and be eligible for consideration of continuing education (CEs).

Certification Expiration and Recertification

  • Participants must recertify every 24 months, and are responsible to register to recertify at least 30 days prior to the expiration date on their certification card.

  • Participants will receive reminder emails three months and one month prior to expiration date.



  • Waivers may be considered in some situations, if the participant does not meet the qualifications to become TST certified.

  • Effective July 2016: Medical Assistants (who are not CMAs or RMAs) will no longer be considered for waivers to be TST Certified.

  • To apply for a waiver, individuals must send the following via email toThis email address is being protected from spambots. You need JavaScript enabled to view it.:

    • Letter of request, on agency or company letterhead, justifying the need for the waiver

    • Resume or CV of the individual requesting the waiver

    • Written letter of support from company administration, supervisor and/or a current TST/TTT Instructor or MRT

Waiver requests are reviewed by the MDHHS TB Control Unit, and then sent to the MRT Board for final review. The majority of the MRT Board must vote to support or deny a waiver before a final decision is made.


“Read-Only” Certification

Effective September 1, 2016: MDHHS will no longer be granting “read-only” certification. Those currently certified as “read only” will remain certified until the certification expires (24 months-post certification date). Upon expiration, the participant may recertify for full certification if they meet the qualifications for TST certification, listed above.