主页提供商& 合作伙伴互操作性​​ 

互操作性​​ 

在联邦和州法规的指导下，互操作性项目确保医疗服务部（DHCS）遵守法规，促进患者数据访问、支付方数据交换和医疗服务提供者目录更新。互操作性使医疗系统之间能够无缝共享患者数据，促进护理协调并改善疗效。DHCS 致力于开发安全的应用程序接口 (API)，使加州人能够轻松访问自己的健康数据，并旨在增强个人管理健康的能力，促进互联的医疗保健生态系统，从而建设一个更加健康的加州。​​ 

加州医疗保险付费服务优先授权指标报告​​ 

DHCS 必须每年报告 Medi-Cal 和儿童健康保险计划 (CHIP) 付费服务 (FFS) 优先授权的综合指标，以遵守CMS 互操作性和优先授权最终规则(CMS-0057-F)。公开报告这些指标可提高透明度和问责制，帮助 Medi-Cal 和 CHIP FFS 会员了解预先授权流程，并使医疗服务提供者和利益相关者能够评估支付方的绩效和行政效率。该报告包括获取需要事先授权的所有 Medi-Cal 和 CHIP FFS 项目和服务（不包括药品）的信息，以及上一日历年这些项目和服务的事先授权申请数据。​​  

如对事先授权指标报告有任何疑问或意见，请联系 DHCS 互操作性团队，电子邮件：interoperability@dhcs.ca.gov。​​ 

2025 年优先授权指标报告​​ 

第三方应用程序开发人员​​  

有意通过患者访问 API 提供健康数据的第三方应用程序开发人员必须通过 DHCS 注册并获得认证。​​ 

请发送电子邮件至interop-api@dhcs.ca.gov申请注册。​​ 

联邦指导​​ 

管理式医疗计划指南​​ 

心理健康计划指南​​ 

  • Behavioral Health Information Notice No: 22-068 This Behavioral Health Information Notice was used to notify all Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) counties about the Centers for Medicare and Medicaid Services (CMS) Interoperability and Patient Access final rule requirements.​​ 

管理式医疗计划和行为健康计划/县指南​​ 

  • Managed Care Plans and Behavioral Health Plans/Counties This site provides additional information for Managed Care Plans and Behavioral Health Plans/Counties regarding California’s Data Exchange Framework, CalAIM Data Sharing Authorization Guidance, Consent Forms and Consent Management, Data Submission Requirements, and other topics.​​ 

州指导​​ 

  • Data Exchange Framework – CDII (ca.gov) California’s Data Exchange Framework (DxF) is the first-ever, statewide data-sharing agreement that will accelerate and expand the exchange of information among healthcare entities across the state. Beginning in January 2024, the DxF includes a single data sharing agreement and a common set of policies and procedures to govern and require the exchange of health and human services information in California. The DxF builds upon the federal Trusted Exchange Framework and Common Agreement (TEFCA), which establishes a foundation for nationwide interoperability.​​ 
  • State Health Information Guidance (SHIG) The SHIG is a collaboration of the Center for Data Insights and Innovation with various organizations to develop specific materials to help clarify federal and state laws that affect disclosure and sharing of health information.​​ 
  • Data Exchange and Sharing The Department of Health Care Services (DHCS) is advancing health information exchange and data sharing to improve the care and outcomes for Medi-Cal Members as California continues its journey into data-driven, value-based health care. Data sharing is foundational to care coordination and is essential to supporting whole-person care programs such as Enhanced Care Management, Community Supports, Population Health management, and other Medi-Cal initiatives.​​ 

前身计划​​ 

  • State Medicaid Health Information Plan (March 2022) The final State Medicaid Health Information Technology Plan (SMHP) presents the impact of the Medi-Cal Promoting Interoperability Program, formerly known as the Medi-Cal Electronic Health Record Incentive Program. The SMHP includes the findings of a health information technology assessment completed by researchers at the University of California, San Francisco in February 2022.​​ 
  • Medi-Cal Promoting Interoperability Program The Health Information Management Division (HIMD), formerly the Office of Health Information Technolgy, was established in DHCS to develop goals and metrics for for the program, establish policies and procedures, and to implement systems to disburse, track, and report the incentive payments. The Promoting Interoperability Program officially ended in December 2021.​​ 
  • California Health Information Exchange Onboarding Program (Cal-HOP) All Cal-HOP project activity concluded effective September 30, 2021. Cal-HOP provided up to $50 million in state and federal funding to Qualified Health Information Organizations (QHIOs) to support Medi-Cal providers’ access and use health information exchange (HIE) technology to improve the quality and effectiveness of care for Medi-Cal beneficiaries.​​ 
  • California Technical Assistance Program In November 2015, the California Technical Assistance Program (CTAP) was launched with $37.5 million in federal and state funds. This program was designed to provide assistance to professionals in adopting, implementing, upgrading and meaningfully using certified electronic health record technology. CTAP concluded in November 2020.​​