The Department of Health Care Access and Information (HCAI) will assess any organization, including a Trusted Exchange Framework QHIN or Nationwide Network or Framework, if it applies to become a QHIO during an open application period. Only organizations that apply for QHIO status during an open application period can be granted QHIO status. QHIO application periods may be offered based on feedback from Data Exchange Framework (DxF) advisory committees.

DxF Participants are not required to use a QHIO, and may use “any health information exchange network, health information organization, or technology that adheres to [DxF] standards and policies” as stated in Health and Safety Code section 130290(a)(2). In accordance with Health and Safety Code section 130291 and the Qualified Health Information Organization Policy and Procedure, which can be found on the Policies and Procedures section of the DxF website, HCAI has created the QHIO Program as an option that may help a Participant meet their DxF obligations. It is up to the Participant to ensure that the health information exchange network, health information organization, or technology they select adheres to DxF standards and policies.