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1. Who is required to sign the Data Exchange Framework (DxF) Data Sharing Agreement (DSA) on or before January 31, 2023?

10. The CalHHS Data Sharing Agreement Signing Portal asks me whether my organization has subordinate organizations. What is a subordinate organization?

11. My organization has already signed the DSA. How do I add additional subordinate entities or facilities to my signed DSA?

12. My organization has already signed the DSA. How do I remove a subordinate entity or facility for which my organization previously signed?

13. Our vendor or organization is connected to a nationwide network. Will that help us meet the requirement to implement the Data Sharing Agreement (DSA)?

14. If the Data Exchange Framework is to be technology-agnostic, why does the Technical Requirements for Exchange identify and require specific technical standards for exchange?

15. 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. How will the DxF identify the technical requirements for security during exchange?

16. The DSA requires entities to meet the obligations set forth in the P&Ps, but how can I be sure that our organization can fulfill our obligations under the DSA if the P&Ps aren’t finalized yet?

17. Are registered laboratories required to sign the Data Sharing Agreement?

18. What skilled nursing facilities are required to sign the DSA?

19. Are solo practices (medical practice by a single physician) considered “physician organizations and medical groups” that are required to sign the DSA? [2/21/2023]

2. Are all mandatory signatories required to sign the DSA by January 31, 2023, including those identified in AB 133 who are not required to exchange data under AB 133 until January 31, 2026?

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? [2/21/2023]

21. How will patient data be secured? [4/3/2023]

22. How will data exchange be operationalized? [4/3/2023]

23. How do DSA signatories who do not use an electronic health record (EHR) participate in the Data Exchange Framework (DxF)? [6/22/2023]

24. What data is an Independent Practice Association (IPA) required to exchange? [6/22/2023]

25. Can my organization opt out of signing the DSA? [6/22/2023]

26. Can patients/individuals that have HSSI maintained by a Participant opt out of their HSSI being shared under the DxF? [6/22/2023]

27. Does the DxF require disclosure of PHI (as defined under HIPAA) beyond what was already permitted under HIPAA and the California Confidentiality of Medical Information Act (CMIA)? [6/22/2023]

28. Are specialized health plans that are not full-service plans, such as Employee Assistance Program (EAP) plans, considered “health care service plans and disability insurers that provide hospital, medical, or surgical coverage” that are required to sign the DSA? [6/22/2023]

29. 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 DSA? [7/13/2023]

3. What are my obligations after I sign?

30. Can a DxF Participant use a nationwide network or framework to meet its exchange obligations under the Data Exchange Framework? [9/1/2023]

31. Will Trusted Exchange Framework QHINs or nationwide networks or frameworks be given QHIO status? [9/1/2023]

32. Are nationwide networks or frameworks, or TEFCA QHINs, required to sign the Data Exchange Framework Data Sharing Agreement for it to be used by a DxF Participant to meet exchange obligations under the Data Sharing Agreement or its Policies and Procedures? [9/1/2023]

33. Are Participants (DSA Signatories) required to use a QHIO for the exchange of HSSI under the DxF? [12/11/2023]

34. Are QHIOs required to serve any Participant that requests their services? [12/11/2023]

35. Can QHIOs charge for the services that they provide to Participants? [12/11/2023]

36. May a QHIO require a Participant to sign agreements in addition to the DSA? [12/11/2023]

37. Does contracting for services with a QHIO guarantee that a Participant has met its requirements under the DSA and its P&Ps? [12/11/2023]

38. Can a Participant require that a QHIO guarantee the Participant will be in compliance with the DxF if the Participant becomes a client of that QHIO? [12/11/2023]

39. How long does it take to onboard to a QHIO? [12/11/2023]

4. Once I sign the DSA, what laws do I have to follow in order to share information with another Participant?

40. What if I am not ready to share data by January 31, 2024? [1/19/2024]

41. Can I restrict the exchange of my health and social services information through the DxF? [6/28/2024]

42. What should a DxF Participant do if a person asks to opt out of DxF data exchange? [6/28/2024]

43. Can a QHIO share an Admit, Discharge, Transfer (ADT) Event of Notification of an ADT Event received from a DxF Participant with a non-Participant client? [7/18/2024]

44. Can a QHIO include the names of Individuals requested by non-Participants on their rosters for requesting Notification of ADT Events? [7/18/2024]

45. If a non-Intermediary Participant selects an Intermediary to help meet its DxF obligations, can that Intermediary charge fees for access to data for a DxF Required Purpose? [9/5/2024]

46. If a Participant selects an Intermediary to help meet its DxF obligations, can that Intermediary sell the data it accesses via the DxF? [Amended – 9/5/2024]

47. How does the DxF align with the CMS Interoperability Rule? [9/5/2024]

48. [New – 2/28/2025] Are health insurers and health care service plans required to share adjudicated claims, encounter date, and clinical elements in the USCDI with all DxF Participants, or only with Individuals through Individual Access Services?

5. How are signatories to the Data Sharing Agreement (DSA) supposed to share data?

6. Who are signatories to the Data Sharing Agreement required to share data with?

7. What should one do prior to signing the Data Sharing Agreement?

8. What information should I collect before registering in the CalHHS Data Sharing Agreement Signing Portal?

9. The CalHHS Data Sharing Agreement Signing Portal asks for California license numbers for some organization types. What is the license number being requested?

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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)

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)

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 – (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)

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 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 Committee Focus Group 4 – Identity Management,Meeting 4D (November 20, 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)