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26-801: Action Required: Sign California Data Exchange Agreement to Maintain Compliance

Providers must sign the Data Exchange Framework Data-Sharing Agreement to avoid corrective action

California law requires applicable providers to participate in the Data Exchange Framework (DxF), including signing the Data-Sharing Agreement (DSA). Providers who have not completed this requirement are out of compliance with California law and must take immediate action. 

Action Required

Who Must Comply

The requirement applies to providers participating in data exchange, including:

  • Physicians and physician practices (including those with fewer than 25 physicians), physician organizations, medical groups and independent practice associations. 
  • Hospitals (all types) and skilled nursing facilities. 
  • Clinical laboratories.
  • Nonprofit clinics and community-based providers.
  • Behavioral health providers.

Compliance Deadlines

  • Phase I: January 31, 2024 
  • Phase II: January 31, 2026

Risk of Noncompliance

Failure to meet these requirements may result in corrective action. Providers must:

  • Maintain an executed DxF DSA.
  • Support secure electronic sharing or access to clinical and social services data.
  • Align internal systems and workflows with DxF requirements.

Información adicional

The DxF, established under Assembly Bill 133 (2021), supports the secure, statewide exchange of health and social services information.

Recursos

For additional details, visit https://dxf.chhs.ca.gov.

Need Help? Contact Us

TheIf you have questions regarding the information contained in this update, contact your Provider Engagement network specialist or 866-999-3945.

This information applies to Physicians and Practitioners, Independent Practice Associations (IPAs), Hospitals, Ancillary Providers, and Behavioral Health Providers.

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Y0020_WCM_178064E_M / H9916_WCM 178009E_M Last Updated On: 11/10/2025