Who We Serve / Federal Agencies & National Networks
Federal Partners · TEFCA · National Networks
CMS, ONC/ASTP, CDC, HRSA, SAMHSA, VA, DoD, IHS, and the TEFCA QHIN ecosystem all rely on state-level HIE partners to reach clinicians, patients, and public-health data in every jurisdiction. SCeHA — operating on the CRISP Shared Services platform and connected to the nation via the eHealth Exchange QHIN — is South Carolina's on-ramp.
Who this is for
Federal partners engage SCeHA as a jurisdictional counterpart — a policy, funding, and technical channel to South Carolina providers, patients, and populations.
The value case
The Civitas HDU framework explicitly maps federal use cases — Medicaid MES/FFP, CDC DMI, ONC North Star Architecture, TEFCA — onto state-designated exchanges like SCeHA.
SCeHA sits on CRISP Shared Services, which participates in TEFCA through the eHealth Exchange QHIN — enabling nationwide reach for participants.
Public-health data flows — ELR, syndromic, immunization, case reports — align with the CDC/ONC North Star Architecture.
Civitas HDU Framework →CMS Medicaid HIE guidance provides a certified pathway for federal financial participation in HIE infrastructure at enhanced match rates.
CMS Medicaid FFP →Federal treating agencies gain access to civilian records through TEFCA-connected state exchanges and QHINs.
FQHCs, RHCs, and other HRSA grantees participate through SCeHA — supporting UDS reporting and safety-net care coordination.
42 CFR Part 2-compliant data flows support SAMHSA-priority behavioral and SUD integration use cases.
What you use
Federal partners engage SCeHA through several channels — as data recipients, use-case sponsors, funders, and policy counterparts.
| SCeHA service | How you use it |
|---|---|
| TEFCA / eHealth Exchange QHIN | Nationwide query and document exchange through CRISP Shared Services participation in eHealth Exchange. |
| Public-Health Data Services | ELR, syndromic surveillance, immunization registry, case reporting — aligned with CDC DMI and ONC North Star. |
| Medicaid FFP-Eligible Infrastructure | Shared HIE infrastructure eligible for enhanced federal match through Medicaid Enterprise Systems certification. |
| Federal Treating Agency Query | VA, DoD, and IHS records reachable via TEFCA-connected national networks. |
| Grantee & Reporting Support | HRSA grantees (FQHCs, RHCs) and SAMHSA behavioral partners use SCeHA data to support required reporting. |
"HDUs align with the joint effort between CDC and the Office of the National Coordinator to modernize the nation's public-health data infrastructure — bringing clinical, non-clinical, administrative, and public-health data into governed, interoperable exchange."
From the Civitas HDU Framework, 2023Evidence base
Federal Medicaid guidance for HIE infrastructure investment and MCO participation policy.
CMS Medicaid HIE →The Trusted Exchange Framework and Common Agreement — the national interoperability foundation SCeHA connects to via eHealth Exchange.
ONC / ASTP →The consensus national framework for state HDU designation and federal partnership.
Civitas HDU Framework →Ready to participate?
Tell us about your organization and a SCeHA representative will walk you through the participation agreement, technical onboarding, and go-live plan. Standard onboarding activates within 60–90 days.
Start the sign-up process →Prefer to talk first? Contact SCeHA directly.