Every Californian, no matter where one lives within our state, should be able to walk into a doctor’s office, a county social services agency, or an emergency room, and be assured that health and social services providers can access the information they need to provide safe, effective, whole-person care—while keeping our data private and secure.  

The Data Exchange Framework (DxF) is the first-ever required statewide data-sharing agreement of its kind in California, and it is key to achieving the state’s plans for transforming healthcare, expanding coverage, advancing equity, and improving connections between health and social services entities. 

The DxF creates an unprecedented opportunity for California’s health and human service providers and entities to securely share and access the information needed to treat all California patients quickly, safely, and equitably. 

On August 1, 2025, the Data Exchange Framework transitioned from the California Health and Human Services Agency to the California Department of Health Access and Information (HCAI), which now oversees ongoing implementation. Manifest MedEx is dedicated to advancing interoperability and data sharing across California. As a Qualified Health Information Organization (QHIO), we are committed to supporting all DxF participants — regardless of their location, technical capabilities, or resources —to achieve CalAIM and Data Exchange Framework (DxF) goals 

We are honored to have participated in the CalHHS DxF Stakeholder Advisory Group, and to continue to participate on the Implementation Advisory Committee, the Data Sharing Agreement and Policies & Procedures Subcommittee, and the 2024 Standards Committee. We're proud to be one of the first organizations to sign the DSA. 

Our goal is to provide updates and resources to help you comply with the requirements under the DxF. It’s important to stay updated as the implementation of the Data Exchange Framework continues.