Notifies SNFs, GACHs and APHs that maintain electronic records of their obligation to exchange or provide access to health information in real time pursuant to the California Health and Human Services (CalHHS) Data Exchange Framework (DxF) data sharing agreement for treatment, payment, or health care operations on or before January 31, 2024, except for certain specified facilities that must meet this requirement by January 31, 2026.
AB 133 added HSC §130290 establishing CalHHS DxF. The DxF includes a single data sharing agreement and common set of policies and procedures that will leverage and advance national standards for information exchange and data content by requiring the real-time exchange of health information among health care entities and government agencies in California.
The DxF aligns with state and federal data requirements including HIPAA and the Confidentiality of Medical Information Act of 1996 and other applicable state and federal privacy laws related to the sharing of data among and between providers, payers, and the government, while also streamlining and reducing reporting burden. For the purposes of the DxF, “health information" includes all electronic health information as defined under federal regulation in Section 171.102 of Title 45 of the CFR and held by the entity.
Pursuant to AB 133, all SNFs that currently maintain electronic records should have signed and executed the DxF data sharing agreement in alignment with existing federal standards and policies on or before 1/31/23.
On or before 1/31/24, SNFs that currently maintain electronic records must exchange health information or provide access to health information to and from every other entity specified by CalHHS pursuant to the DxF data sharing agreement for treatment, payment or health care operations.
Rehabilitation hospitals, long-term acute care hospitals, APHs, critical access hospitals and rural GACHs with fewer than 100 acute care beds, as well as state-run APHs, have until 1/31/26 to meet this requirement.
The DxF Website is located here: https://www.cdii.ca.gov/committees-and-advisory-groups/data-exchange-framework/
Resources: CalHHS DxF FAQ and Guiding Principles.
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