Yes, QHIOs may charge for the services they provide to Participants. The Department of Health Care Access and Information recommends that Participants refer to the Policies and Procedures, including the Permitted, Required, and Prohibited Purposes Policy and Procedure and the Fees Policy and Procedure, both of which can be found on the Policies and Procedures section of the Data Exchange Framework website for more information on when Intermediaries, including QHIOs, may charge fees and restrictions on the fees they may charge. Please reach out to the QHIO(s) in which your organization is interested to learn more about the pricing of their services.