New Updates to MX Participant Policies

Over the last several years, both California and national interoperability requirements have been implemented and expanded upon, resulting in additional requirements on intermediaries such as MX. As continued exchange through secure and robust regional and national networks is a critical component of achieving our collective health goals, MX is updating its Participant Policies to continue effectively supporting Participants through regional and national networks and to provide additional clarity around the use cases supported by new exchange requirements and frameworks. We believe that these changes allow MX to provide more and better information to all our Participants, resulting in better patient care, lower costs, and more efficient and robust exchange. At a high level these policy changes address:
  1. Increased requirements for data sharing. We have included two new policies to align with the California Data Exchange Framework and the national Trusted Exchange Framework and Common Agreement (TEFCA) requirements
  2. Public Health. Specificity around Public Health: (1) role-based access PP-4 “Permitted Uses Of Data And The System” and (2) limitations on use of data: PP-18 “Physical Security” have been included to provide clarity around the public health use case in alignment with HIPAA.
  3. Transparency. Policy PP-7 “Opt-Out” has been updated to explicitly state that MX may initiate a review and validation of Opted-Out patients. Additionally, a description of the MX HEDIS look-back offering has been included in PP-16 “Data and PHI Access” as an explicitly permitted use case. Both updates are in response to a variety of Participant requests.
  4. Clarification and Clean-up. Minor edits have been included throughout to address areas where prior language either: (1) frequently resulted in questions from our Participants or (2) was no longer relevant, was redundant, or required grammatical or other similar corrections.

A redlined version of the updated Participant Policies is available at the above referenced link and will take effect as of December 1, 2024.

These policy changes help MX deliver on its commitment to provide Participants with secure, high value data exchange services that improve the health and wellness of Californians while avoiding any new required action on the part of Participants.

Please contact customersuccess@manifestmedex.org with any questions regarding these changes to MX's Participant Policies.