The Data Exchange Framework (DxF) requires that every Participant provide Access to or Exchange Health and Social Services Information (HSSI) with every other Participant consistent with the Requirement to Exchange Health and Social Services Information
Policy and Procedure and the Permitted, Required and Prohibited Purposes Policy and Procedure. Information on DxF Participants can be found in the DxF Participant Directory Listing. If you have concerns about a Participant receiving HSSI, please contact DxF at DxF@hcai.ca.gov.

Note that Participants are still required to maintain the confidentiality of HSSI and cannot share HSSI if sharing would violate federal or state law. Refusing to share HSSI with another Participant because sharing would violate the law meets an exception to
Information Blocking in the California Information Blocking Prohibitions Policy and Procedure. For information on required Participants, see the required signatories FAQ. For technical requirements for data sharing, see the Data Elements to Be Exchanged Policy and Procedure, the Technical Requirements for Exchange Policy and Procedure, and the Real-Time Exchange Policy and Procedure which can be found on the Policies and Procedures section of the DxF website. For more information on privacy and security requirements and information blocking exceptions, please refer to the Privacy Standards and Security Safeguards Policy and Procedure and the California Information Blocking Prohibitions Policy and Procedure.