On August 5, 2020, the Kentucky Cabinet for Health & Family Services (CHFS) issued updated test reporting guidance to clinical laboratories that conduct testing for COVID-19, including rapid testing.  Effective immediately, CHFS now requires that all laboratories and facilities report all test results (all positive and non-positive) electronically through the Kentucky Health Information Exchange (KHIE). Labs not yet submitting results via KHIE must begin transitioning to KHIE reporting.  This guidance provides additional advice to labs on reporting to KHIE, health departments, and providers.