Skilled nursing facilities (SNFs) are now required to report point-of-care (POC) test results performed under their Clinical Laboratory Improvement Amendment (CLIA) waiver to the National Healthcare Safety Network (NHSN) system, according to a COVID-19 update from the American Health Care Association/National Center for Assisted Living (AHCA/NCAL).

This requires an upgrade from Secure Access Management Services (SAMS) Level-1 access to SAMS Level-3 access.
AHCA/NCAL urges SNFs to act immediately as this upgrading process can take up to four weeks. While this requirement is in effect now, AHCA/NCAL said it has been informed that enforcement discretion will be utilized until Nov. 20.  

Instructions on upgrading to SAMS Level-3 are available here.

Assisted living communities can still report to either the state or NHSN to meet the POC test reporting requirement. However, if they choose to use NHSN they must upgrade to SAMS Level-3, AHCA/NCAL said.