State: Alabama id: AL Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Truven Health Analytics |
State: Alaska id: AK Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Orion Health |
State: American Samoa id: AS Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): TBD |
State: Arizona id: AZ Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Marketplace Directed Exchange Vendor(s): GSI Health, Inpriva, and Care 360 |
State: Arkansas id: AR Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Axolotl/Optum Insight |
State: California id: CA Directed Exchange Implementation Status: Available in regions Implementation Status #: 4 Directed Exchange Approach: Marketplace Directed Exchange Vendor(s): Varies by sub-state HIO |
State: Colorado id: CO Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Medicity |
State: Commonwealth of the Northern Mariana Islands id: MP Directed Exchange Implementation Status: Implementation Status #: Directed Exchange Approach: Directed Exchange Vendor(s): |
State: Connecticut id: CT Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): TBD |
State: Delaware id: DE Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Ability |
State: District of Columbia id: DC Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Orion Health |
State: Florida id: FL Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Harris |
State: Georgia id: GA Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Medicity |
State: Guam id: GU Directed Exchange Implementation Status: Not currently available Implementation Status #: 3 Directed Exchange Approach: TBD Directed Exchange Vendor(s): TBD |
State: Hawaii id: HI Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Medicity |
State: Idaho id: ID Directed Exchange Implementation Status: Not currently available Implementation Status #: 3 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Axolotl/Optum Insight |
State: Illinois id: IL Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Intersystems |
State: Indiana id: IN Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Marketplace Directed Exchange Vendor(s): Mirth |
State: Iowa id: IA Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): ACS |
State: Kansas id: KS Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Marketplace Directed Exchange Vendor(s): Care Align/ICA and Cerner |
State: Kentucky id: KY Directed Exchange Implementation Status: Not currently available Implementation Status #: 3 Directed Exchange Approach: TBD Directed Exchange Vendor(s): TBD |
State: Louisiana id: LA Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Orion Health |
State: Maine id: ME Directed Exchange Implementation Status: Pilot Implementation Status #: 2 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Intersystems |
State: Maryland id: MD Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Secure Exchange Solutions |
State: Massachusetts id: MA Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Orion Health |
State: Michigan id: MI Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Nitor Group |
State: Minnesota id: MN Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Marketplace Directed Exchange Vendor(s): Varies by sub-state HIO |
State: Mississippi id: MS Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Medicity |
State: Missouri id: MO Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Inpriva |
State: Montana id: MT Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Covisint |
State: Nebraska id: NE Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Axolotl/Optum Insight |
State: Nevada id: NV Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Orion Health |
State: New Hampshire id: NH Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Orion Health |
State: New Jersey id: NJ Directed Exchange Implementation Status: Not currently available Implementation Status #: 3 Directed Exchange Approach: Marketplace Directed Exchange Vendor(s): Varies by sub-state HIO |
State: New Mexico id: NM Directed Exchange Implementation Status: Pilot Implementation Status #: 2 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Orion Health |
State: New York id: NY Directed Exchange Implementation Status: Available in regions Implementation Status #: 4 Directed Exchange Approach: Hybrid Directed Exchange Vendor(s): MedAllies |
State: North Carolina id: NC Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Orion Health |
State: North Dakota id: ND Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Orion Health |
State: Ohio id: OH Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Medicity |
State: Oklahoma id: OK Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Marketplace Directed Exchange Vendor(s): Varies by sub-state HIO |
State: Oregon id: OR Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Harris |
State: Pennsylvania id: PA Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Marketplace Directed Exchange Vendor(s): Varies by sub-state HIO |
State: Puerto Rico id: PR Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): PharmaBio Serv and Smart Data Solutions |
State: Rhode Island id: RI Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Marketplace Directed Exchange Vendor(s): Intersystems |
State: South Carolina id: SC Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Care Evolution |
State: South Dakota id: SD Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Hybrid Directed Exchange Vendor(s): Medicity |
State: Tennessee id: TN Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Marketplace Directed Exchange Vendor(s): TBD |
State: Texas id: TX Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Marketplace Directed Exchange Vendor(s): Varies by sub-state HIO |
State: Utah id: UT Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Secure Exchange Solutions |
State: Vermont id: VT Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Updox |
State: Virgin Islands of the United States id: VI Directed Exchange Implementation Status: Implementation Status #: Directed Exchange Approach: Directed Exchange Vendor(s): |
State: Virginia id: VA Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): MEDfx |
State: Washington id: WA Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Axway |
State: West Virginia id: WV Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): Truven Health Analytics |
State: Wisconsin id: WI Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Hybrid Directed Exchange Vendor(s): Medicity |
State: Wyoming id: WY Directed Exchange Implementation Status: Broadly available Implementation Status #: 1 Directed Exchange Approach: Contractual Directed Exchange Vendor(s): NeHII/HIOSS with vendor Axolotl/Optum Insight |