29. Are Participants required to use a Qualified Health Information Organization (QHIO) for the Exchange of Health and Social Services Information (HSSI) under the Data Exchange Framework (DxF)?
No, using a QHIO is optional. Participants may choose to Exchange HSSI through any health information exchange network, health information organization, or technology that adheres to the Data Sharing Agreement (DSA) and Policies and Procedures (P&Ps), which may be a QHIO, a Nationwide Network or Framework, other Intermediary, Point-toPoint Interface using their own technology, or a combination of these methods to comply with the DxF DSA and P&Ps.