Question 1

Who is required to sign the DSA?

Accepted Answer

Required signatories are defined in statute and state program materials (see California Health & Safety Code §130290 and the state's signatory list). Review the official Required vs. Voluntary Signatories and H&S Code §130290.

Question 2

Who enforces DXF participation?

Accepted Answer

DXF operations transitioned in 2025 to the Department of Health Care Access and Information (HCAI). Program updates reference enhanced transparency, accountability, and governance under SB 660. See HCAI's DXF program page and the SB 660 update.

Question 3

Who is exempt from the DXF mandate?

Accepted Answer

DXF identifies categories that are required to sign the DSA; entities outside those categories may be voluntary participants. Providers should confirm applicability using the official signatory list.

Question 4

What exactly is the Data Exchange Framework (DXF)?

Accepted Answer

DXF is California's statewide approach to securely exchange health and social services information across providers, payers, and government partners—using common policies and technical expectations to support whole-person care. See the official DXF overview.

Question 5

What is the difference between DXF and the DSA?

Accepted Answer

DXF is the overall framework (policies and standards). The Data Sharing Agreement (DSA) is the legal agreement organizations sign to participate under those policies. See the For Participants page for obligations after signing.

Question 6

What happens if a provider doesn’t meet DXF requirements?

Accepted Answer

Program materials indicate that non-participation or failure to meet obligations can lead to administrative follow-up or corrective actions as state enforcement processes are implemented. Refer to the official guidance under For Participants and HCAI's DXF program page.

Question 7

Where do I access the Data Sharing Agreement portal?

Accepted Answer

Use the state's official portal linked from the DXF site to review and sign the DSA. Start at the For Participants page for current instructions.

Question 8

Where do I send completed DSA documentation?

Accepted Answer

DSA signatures are submitted electronically via the state portal. TCP can help you prepare documentation and verify your organization's details prior to submission.

Question 9

Where can I verify my organization’s listing in the DXF registry?

Accepted Answer

You can confirm status through the program (DXF/HCAI). TCP's Administrative Help Desk can also assist with record checks to ensure your entry displays as expected.

Question 10

When is the DSA signing deadline?

Accepted Answer

DXF used phased timelines. Early phases included initial deadlines beginning in 2023 for certain entities, with additional onboarding and accountability milestones continuing thereafter. Check the official pages for your category and phase: For Participants and HCAI DXF.

Question 11

When will DXF enforcement begin?

Accepted Answer

Following the 2025 transition to HCAI and SB 660, the state is updating materials to reflect governance and accountability steps. Expect ongoing registry validation and program accountability processes; refer to the state's updates on HCAI DXF and the SB 660 update.

Question 12

When should I update my ONC certification for DXF compliance?

Accepted Answer

Ensure your EHR meets ONC 2015 Edition (Cures Update) certification and keep it current prior to onboarding and exchange. Verify your product/version in the federal CHPL directory.

Question 13

Why did California create the DXF?

Accepted Answer

To reduce fragmentation, improve care coordination, and support secure, standards-based information exchange across California's health and social services ecosystem. See the official overview.

Question 14

Why is the DSA mandatory for certain providers (e.g., Medi-Cal, Denti-Cal participants)?

Accepted Answer

Because these programs depend on interoperable data for administration and care coordination, listed categories of entities are required to participate under statute and program guidance. Review Required vs. Voluntary Signatories and H&S Code §130290.

Question 15

Why does DXF compliance affect reimbursements and reporting?

Accepted Answer

Interoperability and verifiable data exchange underpin many state processes. If required data cannot be exchanged as specified, the state may initiate administrative follow-up per program policy. See For Participants.

Question 16

How do I sign the DSA for my practice?

Accepted Answer

Review the DSA and sign via the state portal (see For Participants). TCP can help organize signatory details, gather required artifacts, and guide the electronic signature steps.

Question 17

How do I verify if my EHR is ONC certified?

Accepted Answer

Search the ONC Certified Health IT Product List (CHPL) for your product and version. Only certified EHR technology satisfies ONC criteria referenced in DXF materials. TCP can help confirm listings and documentation.

Question 18

How can TCP help with DSA submission and DXF onboarding?

Accepted Answer

TCP supports California providers with DSA preparation and submission, ONC certification verification, and onboarding checklists so your record appears correctly for state validation. For assistance, contact the Administrative Help Desk at   844-TCP-FILE or 844-827-3453 .

Data Exchange Framework (DXF) – Frequently Asked Questions

WHO – Audience & Responsibility

WHAT – Definitions & Requirements

WHERE – Process & Submission

WHEN – Timelines & Deadlines

WHY – Purpose & Consequences

HOW – Implementation & Support