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  • 1. Who is required to sign the Data Exchange Framework (DxF) Data Sharing Agreement (DSA)?
  • 10. If the Data Exchange Framework (DxF) is to be technology-agnostic, why does the Technical Requirements for Exchange Policy and Procedure identify and require specific technical standards for Exchange?
  • 11. The Technical Requirements for Exchange Policy and Procedure does not identify certificate policies, System or individual authentication and identity requirements, or other security-related requirements. Will the Data Exchange Framework (DxF) identify technical requirements for security during Exchange?
  • 12. Can my organization opt out of signing the Data Exchange Framework (DxF) Data Sharing Agreement (DSA)?
  • 13. Can Individuals that have Health and Social Services Information (HSSI) Maintained by a Participant opt out of their HSSI being shared under the Data Exchange Framework (DxF)?
  • 14. Does the Data Exchange Framework (DxF) require Disclosure of Personal Health Information (PHI), as defined under Health Insurance Portability and Accountability Act (HIPAA), beyond what was already permitted under HIPAA and the California Confidentiality of Medical Information Act (CMIA)?
  • 15. How does the Data Exchange Framework (DxF) align with the Centers for Medicare & Medicaid Services (CMS) Interoperability Rule?
  • 16. Are health insurers and health care service plans required to share adjudicated claims, encounter date, and clinical elements in the United States Core Data for Interoperability (USCDI) with all Data Exchange Framework (DxF) Participants, or only with Individuals through Individual Access Services?
  • 17. Does the Data Exchange Framework (DxF) apply only to Health and Social Services Information (HSSI) associated with California residents, or can it also apply to information associated with non-residents?
  • 18. How do signatories to the Data Sharing Agreement (DSA) Exchange data?
  • 19. [NEW] How will Emergency Medical Services (EMS) Provider entities and Local EMS Agencies (LEMSAs) participation in the Data Exchange Framework (DxF) be supported?
  • 2. [New] Who is required to sign the Data Sharing Agreement (DSA) under “[e]mergency medical services, as defined by Section 1797.72”?
  • 20. If my organization is a Covered Entity under HIPAA, how can I share protected health information with a non-Covered Entity participant, like a social service organization, under the DSA?
  • 21. How will patient data be secured?
  • 22. How do Data Sharing Agreement signatories operationalize data Exchange?
  • 23. How do Data Sharing Agreement (DSA) signatories who do not use an electronic health record participate in the Data Exchange Framework (DxF)?
  • 24. What should one do prior to signing the Data Sharing Agreement (DSA)?
  • 25. The Data Sharing Agreement Signing Portal asks for California license numbers for some organization types. What is the license number being requested?
  • 26. My organization has already signed the Data Exchange Framework (DxF) Data Sharing Agreement (DSA). How do I add additional subordinate entities or facilities to my signed DSA?
  • 27. My organization has already signed the Data Exchange Framework (DxF) Data Sharing Agreement (DSA). How do I remove a subordinate entity or facility for which my organization previously signed?
  • 28. Will Trusted Exchange Framework Qualified Health Information Networks (QHINs) or Nationwide Networks or Frameworks be given Qualified Health Information Organization (QHIO) status?
  • 29. Are Participants required to use a Qualified Health Information Organization (QHIO) for the Exchange of Health and Social Services Information (HSSI) under the Data Exchange Framework (DxF)?
  • 3. By what deadline do required signatories need to sign the Data Exchange Framework (DxF) Data Sharing Agreement (DSA) and begin data Exchange?
  • 30. Are Qualified Health Information Organizations (QHIOs) required to serve any Participant that requests their services?
  • 31. Can Qualified Health Information Organizations (QHIOs) charge for the services that they provide to Participants?
  • 32. May a Qualified Health Information Organization (QHIO) require a Participant to sign agreements in addition to the Data Exchange Framework (DxF) Data Sharing Agreement (DSA)?
  • 33. Does contracting for services with a Qualified Health Information Organization (QHIO) guarantee that a Participant has met its requirements under the Data Exchange Framework (DxF) Data Sharing Agreement (DSA) and its Policies and Procedures (P&Ps)?
  • 34. Can a Participant require that a Qualified Health Information Organization (QHIO) guarantee the Participant will be in compliance with the Data Exchange Framework (DxF) if the Participant becomes a client of that QHIO?
  • 35. Can a Qualified Health Information Organization (QHIO) share an Admission or Discharge Event or Notification of an Admission or Discharge received from a Data Exchange Framework (DxF) Participant with a non-Participant client?
  • 36. Can a Qualified Health Information Organization (QHIO) include the names of Individuals requested by non-Participants on their Rosters for requesting Notification of Admissions and Discharges?
  • 37. How long does it take to onboard to a Qualified Health Information Organization (QHIO)?
  • 38. Are Nationwide Networks or Frameworks, or Trusted Exchange Framework and Common Agreement (TEFCA) Qualified Health Information Networks (QHINs), required to sign the Data Exchange Framework (DxF) Data Sharing Agreement (DSA) for it to be used by a DxF Participant to meet Exchange obligations under the Data Sharing Agreement (DSA) or its Policies and Procedures (P&Ps)?
  • 39. If a Participant that is not an Intermediary selects an Intermediary to help meet its Data Exchange Framework (DxF) obligations, can that Intermediary charge fees for Access to or Exchange of data for a DxF Required Purpose?
  • 4. Do I have to execute the Data Exchange Framework (DxF) Data Sharing Agreement (DSA) as a condition of continuing, amending, or entering into a new or existing contract for the coverage of or provision of health care services with the Department of Health Care Services (DHCS), the Public Employees’ Retirement System (CalPERS), and the California Health Benefit Exchange?
  • 40. If a Participant selects an Intermediary to help meet its Data Exchange Framework (DxF) obligations, can that Intermediary sell the data it Accesses via the DxF?
  • 41. What if I am not ready to share data by the required date?
  • 42. Can an Individual restrict the Exchange of my Health and Social Services Information (HSSI) through the Data Exchange Framework (DxF)?
  • 43. What should a Data Exchange Framework (DxF) Participant do if an Individual asks to opt out of DxF data exchange?
  • 5. Are “restricted health care service plans,” as defined by section 1300.49 of the Knox Keene Act (28 C.C.R. § 1300.49), required to sign the Data Exchange Framework (DxF) Data Sharing Agreement (DSA)?
  • 6. How are Participants held accountable under the Data Exchange Framework (DxF)?
  • 7. What guidance exists on laws I have to follow when sharing information with another Participant?
  • 8. Who are Data Sharing Agreement signatories required to share data with?
  • 9. Our vendor or organization is connected to a Nationwide Network or Framework. Will that help us meet the requirement to implement the Data Exchange Framework (DxF) Data Sharing Agreement (DSA)?
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    • Posts

  • $47 Million Grant Program Launched to Support Data Exchange Needs of Health and Social Services Organizations Serving Under-Resourced, Historically Marginalized, and Underserved Communities
  • 10 Things Providers Should Know About California’s Data Exchange Framework
  • 2025 Annual California DxF Summit: The Road to Whole-Person Care
  • Applying for Data Exchange Framework (DxF) Grants & Other DxF Program Updates (4/18/2023, 10:00 AM – 11:00 AM PT)
  • CA Releases $50M Grant to Support CalHHS Data Exchange Framework
  • CalHHS DxF QHIO Infographic
  • CalHHS DxF QHIO Seal & Usage Guide
  • CalHHS DxF Qualified Health Information Organizations
  • California Announces Designation of Nine Qualified Health Information Organizations to Support Secure Statewide Data Exchange Ahead of January 2024 Deadline
  • California’s data exchange framework proves government can do big things
  • California’s health organizations can now sign first ever statewide Data Sharing Agreement
  • CDII DxF Accessibility Certification
  • Data Sharing Agreement (DSA) Policies and Procedures (P&P) Subcommittee Meeting – (April 10, 2024, 1:30 PM — 3:30 PM)
  • Data Sharing Agreement (DSA) Policies and Procedures (P&P) Subcommittee Meeting – (March 6, 2024, 1:30 PM — 4:00 PM)
  • Data Sharing Agreement (DSA) Signatory Grants Town Hall (5/16/2023, 10:00 AM – 12:00 PM PT)
  • Data Sharing Agreement Policies and Procedures Subcommittee Meeting #1 (9/23/2022, 9:30 am – 12:00 pm)
  • Data Sharing Agreement Policies and Procedures Subcommittee Meeting #10 – (October 31, 2023, 9:00am — 11:00am)
  • Data Sharing Agreement Policies and Procedures Subcommittee Meeting #2 (10/25/2022, 10:00 am – 12:30 pm)
  • Data Sharing Agreement Policies and Procedures Subcommittee Meeting #3 – (December, 15, 2022, 9:00 am — 11:30 am)
  • Data Sharing Agreement Policies and Procedures Subcommittee Meeting #4 – (January 26, 2023, 9:00 am — 10:30 am)
  • Data Sharing Agreement Policies and Procedures Subcommittee Meeting #8 – (June 27, 2023, 10:00 AM — 12:30 PM)
  • Data Sharing Agreement Policies and Procedures Subcommittee Meeting #9 – (September 27, 2023, 1:00pm — 3:00pm)
  • Deadline to Sign the State’s First-Ever Data Sharing Agreement Is January 31, 2023 — Kicking Off the Next Phase of Implementation for the Data Exchange Framework
  • Demystifying DxF Exchange Scenarios (7/25/2023, 10:00 AM – 11:00 AM PT)
  • DSA Signatory Grantee Office Hour – (December 4, 2025, 11:00 AM – 12:00 PM PT)
  • DSA Signatory Grants Office Hour (September 11, 2025, 11:00 AM – 11:30 AM PT)
  • DxF Data Sharing Agreement Fact vs. Fiction, DxF Grant Applications, & QHIO Applications (2/21/2023, 10:00 AM – 11:00 AM PT)
  • DxF DSA Signing Portal Town Hall (1/6/2023)
  • DxF Grant Program Overview & DSA Signature Portal Demonstration (11/22/2022, 11:30 AM – 12:30 PM PT)
  • DxF Participant Directory Walkthrough (February 7, 2024, 2:30 PM – 3:30 PM PT)
  • DxF Participants Logo Request Instructions
  • DxF Round 3 Grants and DxF Exchange Scenario (10/16/2023, 10:30 AM – 11:30 AM PT)
  • DxF Scenario Infographic
  • DxF Webinar 11 (8/24/2023, 1:30 PM – 2:30 PM PT)
  • DxF Webinar 14 (December 13, 2023, 1:00 PM – 2:00 PM PT)
  • DxF Year End Review and Look Ahead (12/13/2023, 1:00 PM – 2:00 PM PT)
  • Final DSA Signatory Grants Office Hour – (March 5, 2026, 11:00 AM – 12:00 PM PT)
  • Health and Social Services Entities Begin Statewide, Secure, Real-Time Exchange of Electronic Health Records to Support a Healthier California
  • How the DxF Supports CalAIM & Other DxF Program Updates (3/23/2023, 9:30 AM – 10:30 AM PT)
  • ICYMI: Highlights and Reflections from the California DxF Summit!
  • Implementation Advisory Committee Meeting – (December 4, 2025, 9:00 AM – 10:00 AM PT)
  • Implementation Advisory Committee Meeting – (July 17, 2025, 9:00AM — 11:30AM)
  • Implementation Advisory Committee Meeting – (March 19, 2024, 12:00 PM — 2:30 PM)
  • Implementation Advisory Committee Meeting – (May 22, 2024, 12:00 PM — 2:00 PM)
  • Implementation Advisory Committee Meeting – (November 7, 2024, 12:30 PM – 3:00 PM)
  • Implementation Advisory Committee Meeting – (September 25, 2025, 9:00 AM – 11:30 AM)
  • Implementation Advisory Committee Meeting #1 – (September 21, 2022, 10:00 am — 1:00 pm)
  • Implementation Advisory Committee Meeting #10 – (October 10, 2023, 10:00am — 12:00pm)
  • Implementation Advisory Committee Meeting #11 – (November 16, 2023, 9:00am — 11:00am)
  • Implementation Advisory Committee Meeting #2 – (November 3, 2022, 10:00 am — 1:00 pm)
  • Implementation Advisory Committee Meeting #3A – (December 20, 2023, 10:00 am — 12:30 pm)
  • Implementation Advisory Committee Meeting #3B – (January 10, 2023, 11:00 am — 2:00 pm)
  • Implementation Advisory Committee Meeting #4 – (February 2, 2023, 9:00 am — 11:30 am)
  • Implementation Advisory Committee Meeting #8 – (July 20, 2023, 9:30am — 11:00am)
  • Implementation Advisory Committee Meeting #9 – (August 28, 2023, 1:00pm — 2:00pm)
  • Joint Implementation Advisory Committee and Data Sharing Agreement (DSA) Policies and Procedures (P&P) Subcommittee Meeting #12 – (December 19, 2023, 2:00pm — 3:45pm)
  • Joint Implementation Advisory Committee and Data Sharing Agreement (DSA) Policy and Procedure (P&P) Subcommittee Meeting – (January 24, 2024, 9:00 AM — 11:30 AM)
  • Joint Implementation Advisory Committee and Data Sharing Agreement and Policies & Procedures Subcommittee Meeting – (March 21, 2023, 12:00 pm — 2:30 pm)
  • Joint Implementation Advisory Committee and Data Sharing Agreement Policies and Procedures Subcommittee Meeting – (February 13, 2025, 9:00 AM – 11:30 AM)
  • Joint Implementation Advisory Committee and Data Sharing Agreement Policies and Procedures Subcommittee Meeting – (May 15, 2025, 9:00 AM – 11:30 AM)
  • Joint Implementation Advisory Committee and Data Sharing Agreement Policies and Procedures Subcommittee Meeting – (September 17, 2024, 1:00 PM – 3:30 PM)
  • Joint Implementation Advisory Committee and Data Sharing Agreement Policies and Procedures Subcommittee Meeting #6 – (April 24, 2023, 10:30am — 12:30pm)
  • Joint Implementation Advisory Committee and Data Sharing Agreement Policies and Procedures Subcommittee Meeting #7 – (June 5, 2023, 10:30am — 1:00pm)
  • Over 1,400 Health Care Organizations Joined the Data Exchange Framework By the January 31, 2023 Deadline, Leading the Transformation to Safer, More Effective, Whole-Person Care for All Californians
  • QHIO Program Launch and Grant Opportunities (11/7/2023, 2:00 PM – 3:00 PM PT)
  • QHIO Q&A Session 1 (9/8/2023, 10:00am – 11:00am PT)
  • QHIO Q&A Session 2 (9/11/2023, 11:00am – 12:00pm PT)
  • SB 660 Passes Legislature and is Signed into Law by Governor Gavin Newsom
  • Stakeholder Advisory Committee Meeting #1 – (April 16, 2026, 10:00 AM – 4:00 PM PT)
  • Stakeholder Advisory Committee Meeting #2 – (June 18, 2026, 10:00 AM – 4:00 PM PT)
  • Stakeholder Advisory Committee Pre-Meeting Virtual Briefing (April 8, 2026, 3:00 PM – 4:30 PM PT)
  • Standards Committee Meeting #2 – (October 18, 2024, 1:00 PM — 2:00 PM)
  • Standards Committee Meeting #3 – (October 28, 2024, 12:00 PM – 1:00 PM)
  • Standards Committee Meeting #4 – (November 21, 2024, 12:00 PM – 1:00 PM)
  • Standards Committee Meeting #5 – (December 2, 2024, 12:00 PM – 1:00 PM)
  • TASC Focus Group 1 – Social Services Architecture, Meeting 1 (March 27, 2025, 12:00 PM — 1:00 PM)
  • TASC Focus Group 1 – Social Services Architecture, Meeting 2 (April 10, 2025, 12:00 PM — 1:00 PM)
  • TASC Focus Group 1 – Social Services Architecture, Meeting 3 (April 24, 2025, 12:00 PM — 1:00 PM)
  • TASC Focus Group 1 – Social Services Architecture, Meeting 4 (May 8, 2025, 12:00 PM — 1:00 PM)
  • Technical Advisory Committee Focus Group 2 – Consent Management, Meeting 2A (May 29, 2025, 12:00 PM — 1:00 PM)
  • Technical Advisory Committee Focus Group 2 – Consent Management, Meeting 2B (June 12, 2025, 12:00 PM — 1:00 PM)
  • Technical Advisory Committee Focus Group 2 – Consent Management, Meeting 2C (June 26, 2025, 12:00 PM — 1:00 PM)
  • Technical Advisory Committee Focus Group 2 – Consent Management, Meeting 2D (July 10, 2025, 12:00 PM — 1:00 PM)
  • Technical Advisory Committee Focus Group 3 – Event Notification Architecture, Meeting 3A (August 7, 2025, 12:00 PM — 1:00 PM PT)
  • Technical Advisory Committee Focus Group 3 – Event Notification Architecture, Meeting 3B (August 21, 2025, 12:00 PM — 1:00 PM PT)
  • Technical Advisory Committee Focus Group 3 – Event Notification Architecture, Meeting 3C (September 4, 2025, 12:00 PM — 1:00 PM PT)
  • Technical Advisory Committee Focus Group 3 – Event Notification Architecture, Meeting 3D (September 18 2025, 12:00 PM — 1:00 PM PT)
  • Technical Advisory Committee Focus Group 4 – Identity Management Meeting 4C (November 6, 2025, 12:00 PM — 1:00 PM PT)
  • Technical Advisory Committee Focus Group 4 – Identity Management Meeting 4D (November 20, 2025, 12:00 PM — 1:00 PM PT)
  • Technical Advisory Committee Focus Group 4 – Identity Management, Meeting 4A (October 9, 2025, 12:00 PM — 1:00 PM PT)
  • Technical Advisory Committee Focus Group 4 – Identity Management, Meeting 4B (October 23, 2025, 12:00 PM — 1:00 PM PT)
  • Technical Advisory Subcommittee (TASC) – Meeting #3A (August 21, 2024, 1:00 PM- 2:00 PM)
  • Technical Advisory Subcommittee (TASC) – Meeting #3B (September 4, 2024, 1:00 PM – 2:00 PM)
  • Technical Advisory Subcommittee (TASC) – Meeting #4A (November 8, 2024, 1:00 PM – 2:00 PM)
  • Technical Advisory Subcommittee (TASC) – Meeting #4B (November 19, 2024, 2:00 PM — 3:00 PM)
  • Technical Advisory Subcommittee (TASC) Meeting #1A (March 5, 2024, 2:00 PM – 3:00 PM)
  • Technical Advisory Subcommittee (TASC) Meeting #1B (March 20, 2024, 1:30 PM – 2:30 PM)
  • Technical Advisory Subcommittee (TASC) Meeting #2A (April 23, 2024, 1:30 PM – 3:00 PM)
  • Technical Advisory Subcommittee (TASC) Meeting #2B (May 7, 2024, 2:00 PM – 3:00 PM)
  • Technical Advisory Subcommittee (TASC) Meeting #2C (May 21, 2024, 2:00 PM – 3:00 PM)
  • Technical Advisory Subcommittee (TASC) Meeting #2D (June 4, 2024, 2:00 PM – 3:00 PM)
  • The DxF DSA and P&Ps: An Overview (10/24/2022, 2:00 PM – 3:00 PM PT)
  • The Impact of Data Exchange Under the DxF & Key Program Updates (1/19/2023, 9:00 AM – 10:00 AM PT
  • What is a QHIO? How do I sign the DSA? And other DxF Program Updates (12/13/2022, 2:00 PM – 3:00 PM PT)
  • What is the Data Exchange Framework? (9/13/2022)