Official website of the State of California
Official website of the State of California
California law directs the DxF to “enable and require real-time Access to, or Exchange of, health information among Participants through any health information exchange network, health information organization, or technology that adheres to specified standards and policies.” Technical standards in this Policy and Procedure are examples of specified standards that some Participants are required to use through the health information network, health information exchange, or technology they choose.
The Data Exchange Framework allows Participants to provide Access to or Exchange information through any health information exchange network, health information organization, or technology that adheres to the DxF DSA and Policies and Procedures (P&Ps). It is the responsibility of each Participant to ensure they meet requirements of the DxF DSA and its P&Ps. Several Nationwide Networks or Frameworks may satisfy some or all of the requirements of the DxF DSA and its P&Ps.
You cannot remove a subordinate entity or facility using the signing portal once your organization has signed the DxF DSA.
Instead, you need to send a written request to the Department of Health Care Access and Information (HCAI) at DxF@hcai.ca.gov listing your organization, the name(s) and license numbers or employee identification numbers of the subordinates that you would like removed, and the reason for removal. Someone at HCAI will contact you to work on your request.
For more information on who must sign the DxF DSA, please reference question #1
Log onto the signing portal and add the additional subordinate entities or facilities to those already listed, if any, and save the new entries. Then press “Send DSA” to send a new copy of the DxF DSA to the authorized signer. The new signature page will include the new subordinate organizations, along with the subordinate organizations listed previously. Sign and return the DxF DSA.
The original signed DxF DSA will be retained by the signing portal for your reference and by the Department of Health Care Access and Information. Your organization and any previous subordinate entities that were listed will keep the original execution date for the DxF DSA (the date that your organization and all previously listed subordinate entities and facilities signed the DxF DSA). The newly signed DxF DSA establishes a new execution date for any newly listed subordinates that have signed.
For general acute care hospitals, Skilled Nursing Facilities, or psychiatric hospitals, use the license number issued by the California Department of Public Health (CDPH).
For health care service plans or disability insurers, including Medi-Cal managed care plans, use the license number issued by the Department of Managed Health Care (DMHC) or the California Department of Insurance (CDI), or the risk-bearing organization (RBO) number.
For Medi-Cal managed care plans that are not licensed by the DMHC or the CDI, use the contract number issued by the Department of Health Care Services.
For clinical laboratories, use the laboratory license number issued by the California Department of Public Health (CDPH). Do not use the federally-issued Clinical Laboratory Improvement Amendments number.