MX January Newsletter

A monthly roundup of news and updates from MX

January 2024 Edition

A Look Ahead for 2024:
Upcoming Features and Enhancements at Manifest MedEx

Our mission at Manifest MedEx (MX) is to ensure every health care organization in California gets the information they need to improve care, lower costs, and enhance health. We are committed to improving our products and services, expanding our capabilities, and serving California in alignment with our state’s ambitious goals around health equity, public health, and Medi-Cal outcomes.

To that end, we’re excited to share some of the highlights from our 2024 Product Roadmap we’ll be working on this year to enable our participants to do what they do best – caring for and supporting the health and wellness of all Californians. With a lot of momentum around data sharing both at the state and national level, we stand ready to advance California’s health data infrastructure and ensure digital equity for all providers.

Here’s what you can look forward to in 2024 from MX:

Making It Easier (and Free!) to Securely Send and Receive ADT Data
Manifest MedEx recently launched the California ADT Network, a first-of-its-kind, no-cost, electronic acute and post-acute event notification exchange to substantially scale the exchange of admission, discharge, and transfer (ADT) alerts across Data Sharing Agreement (DSA) Signatories in California (more information below).

Putting the Patient First 
At Manifest MedEx, we believe that patient data belongs to the patient, and patients should have easy and timely electronic access to their health records to support their own health and wellbeing. Having access to health records enables patients to better coordinate care with their providers and health plans and ensure the accuracy of information captured in health records.

To facilitate individual access to records in our network, Manifest MedEx will be launching a first-in-class, secure patient identity verification and electronic records access service in 2024. Enabling this functionality is also a requirement for Manifest MedEx to serve as a designated qualified health information organization (QHIO) – one that we enthusiastically support.

Serving as a CalHHS QHIO 
As a designated QHIO, Manifest MedEx is prepared to share data on behalf of Data Exchange Framework (DxF) participants and in accordance with the DxF Policies and Procedures (P&Ps). We have made significant investments in the past several months to ensure we can fulfill our obligations as a QHIO ahead of our deadline and help DSA Signatories meet their data sharing requirements, including:

  • Supporting required transaction patterns related to Requests for Information, Information Delivery, and Notification of ADT Events, on behalf of DSA Signatories using Manifest MedEx as their QHIO
  • Exchanging clinical data as defined in USCDIv2, if maintained by the DSA Signatory, which includes data classes and elements related to social determinants of health (SDOH) and sexual orientation and gender identification (SOGI) to support whole person care
  • Enabling secure, electronic individual patient access to their longitudinal patient records to help patients better coordinate care with their providers and health plans and ensure the accuracy of information captured in health records
  • Meeting the requirements of HITRUST CSF® certification, demonstrating the highest levels of security in the healthcare industry. Manifest MedEx has consistently earned HITRUST CSF® Certification since 2019.

Faster, More, and Better Data!  
We are investing in ways to accelerate data exchange to increase the volume and timeliness of data, as well as improving data quality. This year, look for Manifest MedEx to expand our HL7 Fast Healthcare Interoperability Resource (FHIR®) capabilities including exploring ways to use FHIR® to streamline prior authorization. We will also work to bring in additional clinical data to our ADT notifications, integrate with more data sources such as expanding the data available in MX from the California Immunization Registry (CAIR), pilot various approaches to increase matching rate and digital quality of data, and increase data validated by NCQA that can be used to streamline HEDIS® reporting and improve care quality.

Expand Participation in National Networks 
As part of the eHealth Exchange network, a designated TEFCA qualified health information network (QHIN), Manifest MedEx intends to participate in TEFCA and offer our participants the ability to participate in TEFCA and meet their TEFCA data sharing requirements through our partnership with eHealth Exchange. Together, we can move towards the 21st century digital health ecosystem we all deserve.

2024 will be another transformative and exciting year as we build the health data infrastructure needed to support our participants, those outside our network, and California more broadly. Visit our website to stay tuned for more updates and announcements as we launch these features and capabilities!

Manifest MedEx Launches Free Acute and Post-Acute Event Notification Exchange for California!

Manifest MedEx is launching the California ADT Network – a no-cost, electronic ADT notification exchange — to help organizations exchange ADT data in compliance with the DxF and to substantially scale the sharing of ADT alerts across the state.

California hospitals, health systems, skilled nursing facilities (SNFs), and QHIOs participating in the DxF can now sign on to the California ADT Network to securely send and receive basic ADT notifications for free to improve patient care and help meet DxF data sharing requirements — without any requirement to join the broader MX network or access other products and data services from the QHIO, such as longitudinal patient records and claims data.

The free, bi-directional ADT exchange from Manifest MedEx removes cost barriers for DxF participants and streamlines this required data sharing. It will enable more ADT notifications to be shared between hospitals, SNFs, and QHIOs supporting their care teams who “subscribe” for alerts on their patients — ultimately benefiting the patient.

“Removing the pay to play cost barriers that exist today, making more ADTs accessible while protecting patient privacy, and getting them to the right care team — especially in critical access, rural, and under-resourced areas — is fundamental to creating the digital health data safety net we need in California,” said Erica Galvez, CEO, Manifest MedEx. “The California ADT Network will rapidly accelerate California’s ability to positively transform health equity, public health, and Medi-Cal outcomes, which rely on robust and seamless health data sharing among all providers.”

How the California ADT Network Benefits MX Participants

If you are a hospital participating in the broader MX network and a DSA signatory that has selected Manifest MedEx as your intermediary for DxF compliance, we will automatically integrate your ADT feed into the California ADT Network and match and route your ADTs to patient panels from DSA signatories outside our network to fulfill your "Notify of ADT Events" requirement. Simply ensure that your Customer Success Account Manager is aware you have selected MX as your intermediary for DxF compliance and be sure to indicate as such in the DxF Directory (see directions below).

All other MX participants benefit as more ADT notifications matching patient panels within the MX network become available from hospitals, SNFs, and QHIOs outside of the core MX network.

Read the full press release on our website.

Action Needed! DSA Signatories Required to Update the CDII DxF Participant Directory

The Center for Data Insights and Innovation (CDII) has released the Data Exchange Framework (DxF) Participant Directory in the DSA Signing Portal!

  • Per DxF Policy & Procedure OPP-14, this directory provides information on the method each DxF Participant is using to exchange required health and human services information (HSSI).
  • All Data Sharing Agreement (DSA) Signatories must enter and maintain their Participant entry within 10 business days of any changes.
  • The representative for a DSA organization who created the organization profile/account in the DSA Signing portal will see a “Participant Directory” button when they login to the DSA Signing Portal with their existing account; they are the only ones who can update the directory on behalf of their organizations.
  • For detailed information on the directory, CDII will be hosting a Participant Directory Webinar on Wednesday, February 7, 2024 from 2:30 p.m. - 3:30 p.m. We encourage you to register to learn more.

If you are using Manifest MedEx to meet your data sharing requirements – either as a qualified health information organization (QHIO) or leveraging the new California ADT Network – be sure to select Manifest MedEx in the drop-down menu as your choice to send and receive HSSI, as well as request notifications of ADT events, including if you are only using the California ADT Network to meet the ADT requirement.

One of the many benefits of partnering with Manifest MedEx is that we will automatically serve as your intermediary and exchange the required data on your behalf once we are contacted, reducing the burden for DxF participants.

If you haven’t selected Manifest MedEx as your QHIO, it’s not too late! Simply let your Customer Success Account Manager know and complete the Participant Directory accordingly.

Please contact for questions related to this directory, or reach out to your Customer Success Account Manager for more information on how we can support you as your QHIO.

Data Sharing Agreement (DSA): New Year Brings New Directory, Policies, and Questions to Consider

At the first joint meeting in 2024 of the Policies and Procedures (P&P) Subcommittee and Implementation Advisory Committee (IAC), the Center for Data Insights and Innovation (CDII) announced it expects to award the entire $50 million of state funding allocated to support Data Exchange Framework (DxF) Grants. This includes an estimated $43 million requested by more than 800 DSA Signatories at the close of last December’s final round of Grant Applications. CDII will disburse these funds over the next two years and bring updates on grant outcomes to future IAC meetings. Manifest MedEx looks forward to the share of grants that will benefit our current and incoming participants by supporting the costs of onboarding and technological enhancements to meet DxF exchange requirements.

During the next months, CDII will seek input on the following question: how to establish expectations for the Qualified Health Information Organization (QHIO) Program and measure its impact as a contributor to the success of the DxF. As one of nine QHIOs designated in 2023, Manifest MedEx has recommended that CDII coordinate with its partner State Agencies in Health and Human Services to develop an evaluation framework—for QHIOs specifically, and the DxF more broadly—tied to California’s health care access, equity, affordability, public health, and quality programs and goals, especially CalAIM.

After receiving public comments, CDII has finalized and published two P&Ps:

  • Participant Directory, which requires DxF Participants to publicly list the technologies or Intermediaries they choose to use to exchange Health and Social Services Information (HSSI). If you are or intend to become a Manifest MedEx participant and have signed the DSA, please review the steps in this newsletter on how to enter your choice into the new Participant Directory as required by the P&P.
  • Fees, which clarify the circumstances when DxF Participants may charge other Participants and Individuals for exchanging or making available HSSI. During the meeting, MX reiterated the importance of prohibiting Participants that are not Intermediaries from charging fees to send required information—such as a hospital choosing to use point-to-point connections to send requested Notification of Admit, Discharge, Transfer (ADT) Events.


Follow us on LinkedIn @Manifest MedEx, X @ManifestMedEx, and visit our DxF resource center to stay updated on the Data Exchange Framework, Data Sharing Agreement, QHIO Program, Signatory Grants, policy updates, and upcoming events!

USCDI V2 Clinical Data Now Available as Required by the Data Exchange Framework

As a continuation of our efforts to enhance our products and services in response to participant feedback and to implement the CalHHS Data Exchange Framework (DxF), we are pleased to announce that Manifest MedEx is now supporting the exchange of clinical data included in the United States Core Data for Interoperability Version 2 (USCDI V2) dataset.

USCDI V2 includes 3 new data classes and 22 data elements, supporting the standardized exchange of more information about social drivers of health (SDOH), care team members, and sexual orientation and gender identity (SOGI) to further health equity and whole-person care.

DxF Data Sharing Agreement (DSA) Signatory providers are required to make available or exchange, at minimum, data elements in USCDI V2, if maintained by the entity. As a qualified health information organization (QHIO), Manifest MedEx can help participants meet this requirement.

MX Access users will find USCDI V2 data in the Patient Summary Report which now includes information on:

  • Social History
  • Care Team
  • Patient Goals
  • Health Concerns
  • Devices
  • Procedure Specific Devices

For directions on how to find the Patient Summary Report, reference the MX Access User Guide starting on page 13.

USCDI V2 data will also be available in the CCDAs we provide when queried. You can view a full list of USCDI V2 data classes and data elements that MX supports when received according to USCDI standards here.

If you have not yet logged into our enhanced portal, you may find the following resources helpful:

  • MX Access User Guide
  • MX Access Enhancements Reference Guide
  • MX Notify User Guide
  • MX Access Frequently Asked Questions
  • MX Notify Frequently Asked Questions
  • MX Enhancement Training Frequently Asked Questions

Reach out to if you have any questions, or for technical support, please contact

News and Events

Under The Same Sky

Last week, Erica Galvez, CEO, Manifest MedEx, joined Abner Mason, Founder and CEO, SameSky Health & Board Member, Manifest MedEx, as a guest speaker for the podcast "Under the Same Sky," where she highlighted the role that advancing digital equity, like ensuring all providers get the ADTs they need, plays in creating a digital health data safety net for California to achieve health equity, public health, and Cal-AIM outcomes.

Watch the full recording here.

First Annual AI Healthcare Conference

Manifest MedEx is excited to be a sponsor for the First Annual AI Healthcare Conference hosted by the Inland Empire Foundation for Medical Care, Riverside County Medical Association, Inland Empire Health Plan, and the San Bernardino County Medical Society on April 26th!

Spend an extraordinary day learning about and playing with the very latest Artificial Intelligence (AI) technologies. These are the innovations that are rapidly transforming today’s healthcare delivery system and changing the face of medical practices and care delivery nationwide. AI is now drastically improving efficiencies by cutting documentation time, reducing staffing overload and provider burnout, while boosting quality performance, patient outcomes and satisfactory population health care delivery efficiencies.

Register here to learn more!

Network Growth

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New data sources available on MX today:

ADTs from the following participants:

Oak Valley District Hospital
Southern Inyo Healthcare District

Labs from the following participants:

Circle City Midwifery and Women's Health Services, Inc.
Majid Shahbaz, M.D.
Salus Home Health and Hospice, Inc.

Have questions or want to learn more? We're here to help. Reach out.

We want to hear from you! Let us know how we're doing.