New Update: HHS NHSN Reporting Requirements

COVID-19; Programs and Resources

In an updated memo from HHS, the point-of-care testing results are now required as part of the National Healthcare Safety Network (NHSN) system. The HHS memo identifies that “CMS-certified long term care facilities shall submit point-of-care COVID-19 testing data, including antigen testing data, to CDC’s NHSN."​ 
To report the point-of-care test results to NHSN, facilities will need to upgrade from SAMS Level-1 access to SAMS Level-3 access. While this new requirement goes into effect immediately, AHCA/NCAL has been told that enforcement discretion will be utilized until November 20 to allow time for centers to make the upgrade from Level-1 to Level-3.    

Centers must immediately take action to upgrade from Level-1 to Level-3 to meet this new requirement and avoid enforcement penalties. This process can take up to four weeks, so do not delay.    

To facilitate upgrade to SAMS Level-3 you must:  

  • Login to SAMS at and use the “Update Profile” menu option on the left side of the page. Confirm that your home mailing address is correct and current within your SAMS profile.  

  • Have two forms of identification​ ready to submit and ensure that your name and address match how it appears on your identification (such as your state issued driver’s license). If your name has changed due to marriage and is not updated on your ID, please also provide a copy of your marriage certificate. 

  • You must submit your two forms of identification using the required and unique identity verification form received in the ID Proofing email from SAMS must confirm your identity. Once confirmed, a Grid Card will be mailed to your residential/home address via USPS mail. The SAMS Grid Card permits Level-3 access to NHSN. 

  • After receiving your SAMS grid card via USPS mail, you must login to SAMS at Underneath the “National Healthcare Safety Network System” header, select “NHSN Reporting” link. NOTE: Do NOT access NHSN LTC Reporting as this option will direct you back to Level-1 security.   

Alternatively, facilities can email with the subject line “Enhancing Data Security” to begin upgrading their SAMS access to use this Pathway.