COVID-19 LTC Surveillance Testing

The purpose of this data collection is to monitor compliance with surveillance testing requirements, and to calculate payments for eligible tests.

This data collection is intended to capture people who received a PCR COVID-19 test during the testing period, not number of tests administered. Throughout this submission, never report more than one test result per person within a single week - if more than one test was performed on a person, report the most recent test. Tests reported in this survey should only reflect PCR tests.

The testing period runs from 7:00am Thursday through 6:59am the following Thursday.

1. Facility Name *This question is required.

2. Submitter Information

Name *This question is required.

Email Address *This question is required. This question requires a valid email address.

3. Testing Period *This question is required.

4. How many individual staff worked over the testing period? *This question is required. Count each staff person only once. This question requires a valid number format.

COVID-19 LTC Surveillance Testing

Facility and Staff Information