Connecting Your Health Care

New Options for Managing Your Digital Medical Records


  • You don't feel well. You go to a new health care provider and you can show that provider your health history for dates of service from January 1, 2016 forward.
  • The provider uses that information to diagnose you and you quickly find the right specialist by checking an up-to-date provider directory.
  • You have a question about a claim, so you go to your computer or mobile device and, in minutes, you see if it's been paid, denied or still being processed.
  • You can take your health history with you as you switch health plans.

Starting in 2021, a new federal rule will make it easier for California Health & Wellness members to do all of this and more.1

The Interoperability and Patient Access rule (CMS-9115-F) makes it easier for you to get your health records when you need them most. You now have full access to your health records on your mobile device. This helps you to manage your health better and to know what health care resources are available to you.

Starting in 2022, the Payer-to-Payer Data Exchange portion of the rule1 will allow former and current members to request that their health records go with them, as they switch health plans. For more information about this rule, visit the Payer-to-Payer Data Exchange section found on this web page.

The new rule makes finding information easy:2

  • claims (paid and denied)
  • certain parts of your clinical information
  • healthcare providers
  • pharmacy directory data3

Samples of data we maintain include:

  • Health Concerns
  • Vaccines
  • Procedures
  • Medications
  • Laboratory Tests & Results
  • Assessment & Treatment Plan
  • Care Team Members

1 Applies to Medicare Advantage, Medicaid and CHIP Managed Care, and federally funded ACA exchange plans.

2 Data will be available for dates of service on or after Jan. 1, 2016. Data for Payer-to-Payer only covers clinical data.

3 For Medicare Advantage Prescription Drug (MAPD) plans.

Why is this so important?

Having your health information in one place may help you and your providers:

  • Understand your health better
  • Make better decisions
  • Improve your health outcomes
  • Reduce healthcare costs
  • Carry information to new providers or health plans

Keeping your Protected Health Information (PHI) safe is important

The new rule lets you use an app from a third party application developer (a company that has no link to California Health & Wellness). You can use this app to look up your health information. When choosing an app, it is important to think about how your data can be used and the app's security and privacy practices.

The CARIN alliance is working to advance the exchange of health information. We will require third-party application developers to agree to follow certain privacy standards outlined in the CARIN Code of Conduct. The CARIN Code of Conduct is a set of practices that these apps have voluntarily adopted to protect and secure your health information.4 Visit the My Health Application website to see a list of apps that have agreed to the CARIN Code of Conduct. We will give you information on federal agencies you can contact if you feel your rights to patient privacy have not been protected. Learn more about the CARIN Alliance.

Before sharing your data with a third party application, we will ask you to agree to an Access Your Data statement. This is an added security step to protect your data.

4 California Health & Wellness does not track the apps' continued compliance with the CARIN Code of Conduct.

Current Members: What to do now

  1. Find an app. Visit the My Health Application website for a list of apps that meet the CARIN Code of Conduct.

    By agreeing to the CARIN Code of Conduct, the third-party app developer attests it meets certain standard security practices. These practices include, but are not limited to:
    • Protection of a user's personal data against:
      • Loss or unauthorized access
      • Use
      • Alteration
      • Destruction
      • Unauthorized annotation
      • Disclosure
    • Protect personal data through a blending of systems that include:
      • Secure storage
      • Digital record encryption – both in transit and at rest
      • Data-use agreements and contract duties
      • Obligation measures (e.g., access controls, logs and separate audits)
    • Comply with relevant breach alert laws
    • Provide important remedies to address security breaches. And, to address other infractions due to a misuse of the user's personal data
    • Adopt internal policies and secure contractual commitments with third parties to prohibit the renaming of undefined or unnamed data.
  2. Download the app. Smartphone apps are available through the Google Play Store (Android) and the App Store (iOS). Web apps are also available for computers.
  3. Create your account. Use the app to do this:
    • To link your health information, choose your health plan
    • On the log in screen, enter your member portal username and password
    • Read the Access your Health Data statement. If you agree to the terms, click "Allow Access"
  4. Use your information to manage your healthcare.