diff --git a/app/Http/Controllers/Api/IntegrationController.php b/app/Http/Controllers/Api/IntegrationController.php
index a7e800e..c979457 100644
--- a/app/Http/Controllers/Api/IntegrationController.php
+++ b/app/Http/Controllers/Api/IntegrationController.php
@@ -96,6 +96,10 @@ class IntegrationController extends Controller
             AuditLogger::record($owner, 'organization.created', $organization->id, $owner, Organization::class, $organization->id);
         }
 
+        if (in_array($caller, ['care', 'frontdesk'], true)) {
+            $this->syncIntegrationFlag($organization->fresh(), $caller, true);
+        }
+
         return response()->json([
             'data' => [
                 'provisioned' => true,
diff --git a/tests/Feature/CareIntegrationTest.php b/tests/Feature/CareIntegrationTest.php
new file mode 100644
index 0000000..f380178
--- /dev/null
+++ b/tests/Feature/CareIntegrationTest.php
@@ -0,0 +1,52 @@
+<?php
+
+namespace Tests\Feature;
+
+use App\Models\Organization;
+use Illuminate\Foundation\Testing\RefreshDatabase;
+use Tests\TestCase;
+
+class CareIntegrationTest extends TestCase
+{
+    use RefreshDatabase;
+
+    protected function careHeaders(string $owner = 'care-owner-uuid'): array
+    {
+        config(['qms.service_api_keys.care' => 'test-care-key']);
+
+        return [
+            'Authorization' => 'Bearer test-care-key',
+            'Accept' => 'application/json',
+        ];
+    }
+
+    public function test_provision_enables_care_integration(): void
+    {
+        $owner = 'care-owner-uuid';
+
+        $this->postJson('/api/v1/integrations/provision', [
+            'owner' => $owner,
+            'organization_name' => 'Care Clinic',
+            'branch_name' => 'Main',
+        ], $this->careHeaders($owner))
+            ->assertCreated()
+            ->assertJsonPath('data.integrations.care', true);
+
+        $organization = Organization::owned($owner)->first();
+        $this->assertTrue((bool) data_get($organization->settings, 'integrations.care_enabled'));
+    }
+
+    public function test_counters_allowed_after_care_provision(): void
+    {
+        $owner = 'care-owner-uuid';
+        $headers = $this->careHeaders($owner);
+
+        $this->postJson('/api/v1/integrations/provision', [
+            'owner' => $owner,
+            'organization_name' => 'Care Clinic',
+        ], $headers)->assertSuccessful();
+
+        $this->getJson('/api/v1/counters?owner='.$owner, $headers)
+            ->assertOk();
+    }
+}