Increasing LTCF SAMS Level Access to NHSN

CDC’s NHSN is supporting the nation’s COVID-19 response by introducing the new COVID-19 Module for Long-Term Care Facilities (LTCFs) in the NHSN’s LTCF Component. LTCFs eligible to report into the new COVID-19 Module include skilled nursing facilities/nursing homes, long-term care for the developmentally disabled, and assisted living facilities.

LTCFs enrolled in NHSN to only report COVID-19 data have limited access to the NHSN surveillance application. Completion of the Secure Access Management Services (SAMS) identity verification process is required for LTCF users to gain full access to the remaining NHSN surveillance modules, various analytic tools, and data reports. Users who complete the identity verification process will be migrated from level-1 to level-3 SAMS access and will be issued a SAMS grid card for a more secure NHSN user experience.

To increase your LTCF SAMS level access, a SAMS representative will need to confirm the identity of one or more NHSN users and subsequently provide a SAMS grid card by USPS mail. This web page briefly outlines the required steps for increasing LTCF SAMS level access to NHSN.

Please note, completing this enhanced data security process for the COVID-19 Module will enable full NHSN reporting capability for healthcare-associated infections and prevention process measures.

To complete the enhanced data security process, please follow the steps outlined below:

This process can take up to four weeks to be completed, but you will not lose access to NHSN at any time during the process.

Step 1 – Receive Communication from SAMS

The CDC will submit a request to increase your security level access. Check your email inbox for communication from SAMS, via, requesting two forms of identification (ID)*.

*An email will be sent to you 3 to 5 business days after the SAMS access request.

*You must provide one (1) unexpired document from List A and one (1) additional unexpired document from List B. A copy of each ID must be included in your submission.

View list of SAMS identity verification documents pdf icon[PDF – 150 KB].

Step 2 – Submitting your Proof of Identification

Before submitting your proof of ID, confirm the following:

  1. Log into 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.
  2. Ensure that your name and address match how it appears on your submitted identification (such as your state issued driver’s license).
Step 3 – Complete SAMS Certification Process

After successfully submitting your identification into the SAMS portal, SAMS must confirm your identity.

Once confirmed, SAMS will send you a “Welcome to SAMS” email. A SAMS grid card will be mailed to your residential/home address by USPS mail.

The SAMS grid card permits Level-3 access to NHSN.

Step 4 – Activate Level 3 Access in NHSN

After receiving your SAMS grid card, it is very important that you access NHSN by logging into SAMS at

Underneath the National Healthcare Safety Network System header please select the “NHSN Reporting” link.

DO NOT access the “NHSN LTC Reporting” option, as this option will direct you to level one security.

Congratulations, you now have Level-3 access to NHSN!

If you experience problems during enrollment, please contact the NHSN user support with “Enhancing Data Security” in the subject line.