Mandatory CLIA POC Test Reporting to NHSN
We recently just off of an emergency call with AHCA/NCAL regarding now mandatory CLIA point of care (POC) antigen test reporting to NHSN. Here’s what we know:
AHCA/NCAL has been informed by CMS that reporting of the POC antigen test results to NHSN will now be mandatory. The June 4 HHS memo on laboratory testing has now been updated (see page 2) to state:
- “#4 CMS-certified long term care facilities shall submit point-of-care COVID-19 testing data, including antigen testing data, to CDC’s NHSN”.
Some of you have already, or will soon be hearing, from OHCQ or your regional CMS office about this new mandate. CMS has verbally indicated that this new requirement goes into effect immediately, but they will exercise enforcement discretion until November 20.
To access this new reporting module, facilities must upgrade from SAMS Level-1 to Level-3 access. 73 centers in Maryland will have to update from SAMS Level-1 to SAMS Level-3 to meet this new CMS POC testing mandatory reporting requirement. Challenges early on due to this change include:
- CLIA and NHSN requirements differ
- Most state governments do not yet know of this change
- What will be the role of standardized NHSN reporting, non-duplication of state and federal reporting, and the adaptation of state exchanges such as CRISP in making sure this reporting is automated and non-duplicative
AHCA/NCAL is asking CMS for a delay in this implementation. Be on the lookout for more information in the coming days.