Official website of the State of California
Official website of the State of California
The DxF DSA and its P&Ps govern and require the Exchange of Health and Social Services Information under the DxF only among signatories to the DSA. Neither CDII nor the DxF prohibit Exchange among non-signatories or between signatories and nonsignatories, whether or not the exchange is facilitated by a QHIO. QHIOs and other Intermediaries assisting Participants to meet their DxF requirements should review their Business Associate Agreements (BAAs) and other agreements with their customers, as well as Applicable Law, in determining what Exchange they can facilitate among signatories and non-signatories to the DSA.
The DxF does not prohibit a QHIO who receives an ADT Event or Notification of an ADT Event from a DxF signatory from sharing any notification of the event with a nonsignatory, so long as the Exchange is permitted by Applicable Law, the DSA, the DxF P&Ps, and relevant BAAs or other agreements the QHIO has with its customers.
If a person asks to opt out of DxF data exchange, the Participant should follow their own organization’s procedure for an individual’s request for a restriction on the use or disclosure of their data. The provider can also advise the person that there is otherwise no state-wide mechanism to opt out of DxF data exchange. The DxF is not an information technology system or a single repository of data. The DxF establishes the ”rules of the road” for a collection of organizations that are required to exchange health and social services information with each other.
If you have health and social services information that you don’t want exchanged, please contact the health care organization, provider or social services agency who maintains that information. The DxF is not an information technology system or single repository of data, rather, it establishes the “rules of the road” for a collection of organizations that are required to exchange health and social services information with each other. There is no state-wide mechanism to opt out of DxF data exchange.
The date to begin exchange under the DxF is a requirement established in Health and Safety Code (HSC) § 130290. Neither CalHHS nor CDII are authorized to grant extensions or exemptions from state law. Throughout 2024, CDII will continue to develop resources intended to help Participants determine if they are meeting their obligations under the DxF. We encourage you to stay engaged and recommend reading the DxF Weekly Update that is distributed on Tuesday afternoons. This weekly email provides important updates and links to helpful resources as well as upcoming events. To join the DxF Weekly Update listserv, please email dxf@chhs.ca.gov to be added.
Onboarding to a QHIO typically takes between 90 and 180 days; however, the length of time to onboard to a QHIO will vary depending on the Participant’s technology, Participant vendor readiness, the services the Participant is seeking, and other factors. Participants should reach out to the QHIO(s) for more information on the time to onboard.