LONG-TERM CARE FACILITY (LTCF)
COVID-19 Point of Care (POC) Test Result Reporting Tool
Frequently Asked Questions
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v.9 April 2023
Point of Care Testing - Reporting Requirements
Reporting Requirements
Q. Is there a requirement for nursing homes to report POC test results to NHSN?
CMS-certified long-term care facilities may submit point-of-care SARS-CoV-2 testing data, including antigen
testing data, to CDC’s National Healthcare Safety Network (NHSN). This CDC- and CMS-preferred pathway to
submit data to CDC’s NHSN applies only to CMS-certified long-term care facilities. Test data submitted to NHSN
will be reported to appropriate state and local health departments using standard electronic laboratory
messages. Other types of LTC facilities may also report testing data in NHSN for self-tracking or to fulfill state or
local reporting requirements, if any. While NHSN is the CDC- and CMS-preferred pathway, Medicare and
Medicaid-certified LTC facilities may submit data through the other mechanisms described in the Current
Methods of Submission section of HHS Laboratory Reporting Guidance
to meet the reporting requirements.
Q. Am I required to report COVID-19 test results for my facility?
Information regarding the requirement to report test results is located at
https://www.hhs.gov/sites/default/files/covid-19-laboratory-data-reporting-guidance.pdf
CMS is the regulatory body involved in enforcement of testing, not CDC. Further information can be found at:
https://www.cms.gov/newsroom/press-releases/cms-posts-guidance-implementing-new-testing-requirements-
nursing-homes-and-labs
CDC provides a pathway by which test results may be reported, but it is neither an enforcement agency nor the
agency that mandates testing or reporting.
Q. Must negative results also be reported?
No. Effective April 4, 2022, entities conducting all other SARS-COV-2 testing (e.g., testing conducted in a setting
operating under a CLIA certificate of waiver, non-NAAT testing conducted in a facility certified under CLIA to
perform moderate- or high-complexity tests) except antibody and self-administered testing, must report
positive test results. Reporting of negative results, either individual test results or in aggregate, is optional.
This includes rapid testing conducted in many settings (e.g., screening testing at schools, correctional facilities,
employee testing programs, long-term care facilities, and point-of-care testing performed in pharmacies,
medical provider offices, and drive-through testing sites). Negative result reporting may still be required by
applicable state or local law, and entities should check with the applicable state, territorial, local, and Tribal
(STLT) jurisdiction for specific reporting requirements.
https://www.hhs.gov/sites/default/files/covid-19-
laboratory-data-reporting-guidance.pdf
Q. Do my facility’s POC test results reported to NHSN get sent to my state health department?
POC test results for SARS CoV-2 entered into NHSN are sent within 15 minutes of saving in NHSN, to an
electronic platform at the Association for Public Health Laboratories via a secure messaging format. From there,
within another 2 hours, they are sent to the appropriate state health department and to the Centers for Disease
Control and the U.S. Department of Health and Human Services. Non-SARS CoV-2 test results are sent on the
same schedule but sent based on preferences provided by state health departments and only to those health