CTEN Onboarding Process

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You must complete two steps to participate in CTEN:

  1. Apply to become a CTEN Participant
  2. Complete Validation Testing for each transaction pattern used on the CTEN

Becoming a CTEN Participant

Procedures for becoming a CTEN Participant are governed by policies and procedures OPP-1EPP-8, and EPP-9.

Each new organization must complete the following steps to become a CTEN Participant:

  1. Review the California Data Use and Reciprocal Support Agreement (CalDURSA), and sign and forward to the CIC the CalDURSA Joinder Agreement
  2. Review important CIC Operating Policies and Procedures (OPP-1OPP-2, and OPP-7) and Exchange Policies and Procedures (EPP-8 and EPP-9, and EPP-10) Policies
  3. Complete, sign, and forward to the CIC the CTEN Application Form for TPO, along with supporting evidence

At this point, your organization is a “CTEN Applicant”. The CIC will review and approve the Application, potentially with requested revisions, normally within 1 month. When this is complete:

  1. Review Exchange Policy EPP-10 for TLS certificates and complete the CTEN TLS Certificate Checklist, if applicable
  2. Forward to the CTEN Administrator the checklist, and testing and production certificates for TLS, if applicable
  3. Forward to the CTEN Administrator testing and production endpoints, if applicable

The CTEN Administrator will review the Checklist, inspect and accept submitted certificates, and will add endpoints and certificates to the CTEN Service Registry. When this is complete, you are ready to begin testing:

  1. Select two testing partners among CTEN Participants or CTEN applicants currently under testing
  2. Complete and forward to the CIC the CTEN Testing Report, along with supporting evidence

The testing report listed above is for query-based document exchange, the most common transaction on the CTEN today. Contact the CTEN Administrator if you wish to enter into some other transaction pattern.

The CIC will review and approve the Testing Report, potentially with requested revisions, normally within 1 month. The CIC Chair will countersign and forward to you the CalDURSA Joinder Agreement. At this point, your organization becomes a “Provisional CTEN Participant”. CAHIE will list the organization among parties to the CalDURSA and among CTEN Participants on its web site.

  1. Conduct exchange of actual patient data in production with at least one CTEN Participant within 120 days

The CIC may be petitioned for extensions to the 120-day period, or may remove your organization from the list of CTEN Participants if exchange is not reported within 120 days.

  1. Report to the CIC successful exchange in production via email (no form required)

At this point, your organization transitions from “provisional” approval to become a “CTEN Participant”.

Service Suspension or Termination

If a service is suspended or terminated (e.g., discontinuation of an exchange service, suspension for a major upgrade):

  1. Notify the CIC in writing of the service suspension or termination prior to the interruption if planned, or as soon after the interruption if unplanned, along with the reason

If the suspension is for less than 10 consecutive days and less than a total of 40 days within any 12-month period, the CIC Chair will normally approve the suspension within a few business days without CIC action.

If the suspension or termination is for greater than 10 consecutive days or will exceed a total of 40 days within a 12-month period, the CIC Chair may take the request to the CIC for approval. Most reasonable requests are approved. However, the CIC may reject a request for suspension and subsequently revoke a participants status as a CTEN Participant.

Adding a New Transaction Pattern

CTEN Participants that wish to add a new transaction pattern need only complete validation testing for that transaction.

Changes to Exchange Services

Changes to exchange services on the CTEN are governed by OPP-3.

Certificate Changes

If a certificate is changed or updated (e.g., upon expiration):

  1. Notify the CIC in writing of the certificate change
  2. Submit the new certificate(s) to the CTEN Administrator

 

The CIC Chair will normally approve the change within a few business days without CIC action. The CTEN Administrator will inspect and accept submitted certificates, update certificates in the CTEN Service Registry, and alert all CTEN Participants of the certificate change.

Service Changes

If a service is changed:

  1. Notify the CIC in writing of the service change

If a minor change, the CIC Chair may approve the change without CIC action within a few business days. If the change involves the addition or significant modification of a service (e.g., major upgrade, platform change), the CIC Chair will request completion of testing procedures.

If requested of the CIC Chair:

  1. Forward to the CTEN Administrator testing and production certificates for TLS, if applicable
  2. Forward to the CTEN Administrator testing and production endpoints, if applicable

The CTEN Administrator will inspect and accept submitted certificates, and will update endpoints and certificates in the CTEN Service Registry.

  1. Select two testing partners among CTEN Participants or CTEN applicants currently under testing
  2. Complete and forward to the CIC the CTEN Testing Report, along with supporting evidence

The CIC will review and approve the Testing Report, potentially with requested revisions, normally within 1 month. The service change is provisionally approved.

  1. Conduct exchange of actual patient data in production with at least one CTEN Participant within 120 days
  2. Report to the CIC successful exchange in production via email (no form required)