No, QHIOs are not required by the Department of Health Care Access and Information or the QHIO Program to enter into contracts and serve every Participant that requests their services. Some QHIOs may not be able to meet the specialized needs of some Participants or the technologies they have chosen; may not be prepared to serve all Participant types; may not offer all of the services requested by a Participant beyond those required by Data Exchange Framework and the QHIO Program; or may not have the capacity to take on new Participants at the time of a Participant’s inquiry. Please reach out to the QHIO(s) your organization is interested in for more information on their ability to provide services to your organization.