ONC Seeks Comment on TEFCA Performance Monitoring Data Collection
The Office of the National Coordinator for Health Information Technology (ONC) published a notice on August 17, 2026, requesting public comment on a three-year data collection initiative for the Trusted Exchange Framework and Common Agreement (TEFCA). The proposed collection would gather routine feedback on service delivery and program performance from Qualified Health Information Networks (QHINs). Comments are due under standard federal notice procedures. For Medicaid programs increasingly reliant on interoperability for care coordination, managed care reporting, and health information exchange, this reflects ONC's evolving oversight approach for the national framework governing health data exchange among QHINs.
Medicaid managed care organizations and state agencies participating in or contracting with QHINs for data exchange should monitor this feedback framework, as ONC's monitoring approach may inform future TEFCA compliance expectations and performance standards affecting Medicaid health information exchange obligations.
Managed Care
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