diff --git a/src/utils/responses.py b/src/utils/responses.py
index 0ed7477bc..1327faeb2 100644
--- a/src/utils/responses.py
+++ b/src/utils/responses.py
@@ -8,6 +8,7 @@
 
 from fastapi import HTTPException
 from llama_stack_api import OpenAIResponseObject
+from llama_stack_api.openai_responses import ApprovalFilter
 from llama_stack_api.openai_responses import (
     OpenAIResponseContentPartRefusal as ContentPartRefusal,
 )
@@ -732,12 +733,20 @@ async def get_mcp_tools(
             continue
 
         authorization = headers.pop("Authorization", None)
+
+        require_approval = (
+            mcp_server.require_approval
+            if isinstance(mcp_server.require_approval, str)
+            else ApprovalFilter(
+                always=mcp_server.require_approval.always or None,
+                never=mcp_server.require_approval.never or None,
+            )
+        )
         tools.append(
             InputToolMCP(
-                type="mcp",
                 server_label=mcp_server.name,
                 server_url=mcp_server.url,
-                require_approval="never",
+                require_approval=require_approval,
                 headers=headers or None,
                 authorization=authorization,
             )
diff --git a/tests/unit/utils/test_responses.py b/tests/unit/utils/test_responses.py
index f338f5401..1a0668211 100644
--- a/tests/unit/utils/test_responses.py
+++ b/tests/unit/utils/test_responses.py
@@ -12,6 +12,7 @@
     AllowedToolsFilter,
     OpenAIResponseInputToolChoiceAllowedTools,
 )
+from llama_stack_api.openai_responses import ApprovalFilter as LlamaStackApprovalFilter
 from llama_stack_api.openai_responses import (
     OpenAIResponseInputTool as InputTool,
 )
@@ -60,7 +61,7 @@
 
 import constants
 from models.api.requests import QueryRequest
-from models.config import ByokRag, ModelContextProtocolServer
+from models.config import ApprovalFilter, ByokRag, ModelContextProtocolServer
 from utils.responses import (
     _build_chunk_attributes,
     _merge_tools,
@@ -405,6 +406,50 @@ async def test_get_mcp_tools_without_auth(self, mocker: MockerFixture) -> None:
         assert tools_no_auth[0].server_label == "fs"
         assert tools_no_auth[0].server_url == "http://localhost:3000"
         assert tools_no_auth[0].headers is None
+        assert all(tool.require_approval == "never" for tool in tools_no_auth)
+
+    @pytest.mark.asyncio
+    async def test_get_mcp_tools_require_approval_always(
+        self, mocker: MockerFixture
+    ) -> None:
+        """Test get_mcp_tools passes require_approval='always' from config."""
+        server = ModelContextProtocolServer(
+            name="strict",
+            url="http://localhost:3000",
+            provider_id="mcp",
+            require_approval="always",
+        )
+        mock_config = mocker.Mock()
+        mock_config.mcp_servers = [server]
+        mocker.patch("utils.responses.configuration", mock_config)
+
+        tools = await get_mcp_tools(token=None)
+        assert len(tools) == 1
+        assert tools[0].require_approval == "always"
+
+    @pytest.mark.asyncio
+    async def test_get_mcp_tools_require_approval_filter(
+        self, mocker: MockerFixture
+    ) -> None:
+        """Test get_mcp_tools translates ApprovalFilter to Llama Stack format."""
+        server = ModelContextProtocolServer(
+            name="github",
+            url="http://localhost:3000",
+            provider_id="mcp",
+            require_approval=ApprovalFilter(
+                always=["create_issue"],
+                never=["list_repos"],
+            ),
+        )
+        mock_config = mocker.Mock()
+        mock_config.mcp_servers = [server]
+        mocker.patch("utils.responses.configuration", mock_config)
+
+        tools = await get_mcp_tools(token=None)
+        assert len(tools) == 1
+        assert isinstance(tools[0].require_approval, LlamaStackApprovalFilter)
+        assert tools[0].require_approval.always == ["create_issue"]
+        assert tools[0].require_approval.never == ["list_repos"]
 
     @pytest.mark.asyncio
     async def test_get_mcp_tools_with_kubernetes_auth(