Common use of Privacy Officer DHCS Information Security Officer Clause in Contracts

Privacy Officer DHCS Information Security Officer. See the Scope of Work exhibit for Program Contract Manager information Privacy Officer c/o: Office of HIPAA Compliance Department of Health Care Services X.X. Xxx 000000, XX 0000 Xxxxxxxxxx, XX 00000-0000 Email: xxxxxxxxxxxxxx@xxxx.xx.xxx Telephone: (000) 000-0000 Fax: (000) 000-0000 Information Security Officer DHCS Information Security Office P.O. Box 997413, MS 6400 Xxxxxxxxxx, XX 00000-0000 Email: xxx@xxxx.xx.xxx Fax: (000) 000-0000 Telephone: EITS Service Desk (000) 000-0000 or (000) 000-0000

Privacy Officer DHCS Information Security Officer. See the Exhibit A, Scope of Work exhibit for Program Contract Manager information Privacy Officer Information Protection Unit c/o: Office of HIPAA Compliance Department of Health Care Services X.X. Xxx 000000, XX 0000 Xxxxxxxxxx, XX 00000-0000 Email: xxxxxxxxxxxxxx@xxxx.xx.xxx Telephone: (000) 000-0000 0000; (866) 866- 0602 Email: xxxxxxxxxxxxxx@xxxx.xx.xxx Fax: (000) 000-0000 Information Security Officer DHCS Information Security Office P.O. Box 997413, MS 6400 Xxxxxxxxxx, XX 00000-0000 Email: xxx@xxxx.xx.xxx Fax: (000) 000-0000 Telephone: EITS ITSD Service Desk (000) 000-0000; (800) 000- 0000 or Fax: (000) 000000)000-0000

Privacy Officer DHCS Information Security Officer. See the Exhibit A, Scope of Work exhibit for Program Contract Manager information Privacy Officer Information Protection Unit c/o: Office of HIPAA Compliance Department of Health Care Services X.X. Xxx 000000, XX 0000 Xxxxxxxxxx, XX 00000-0000 (000) 000-0000 Email: xxxxxxxxxxxxxx@xxxx.xx.xxx Telephone: (000Telephone:(000) 000-0000 Fax: (000) 000-0000 Information Security Officer DHCS Information Security Office P.O. Box 997413, MS 6400 Xxxxxxxxxx, XX 00000-0000 Email: xxx@xxxx.xx.xxx Fax: (000) 000-0000 Telephone: EITS ITSD Service Desk (000) 000-0000 or (000) 000-0000 Fax: (000) 000-0000

Privacy Officer DHCS Information Security Officer. See the Scope of Work exhibit for Program Contract Manager information Privacy Officer c/o: Office of HIPAA Compliance Department of Health Care Services X.X. Xxx 000000, XX 0000 Xxxxxxxxxx, XX 00000-0000 Email: xxxxxxxxxxxxxx@xxxx.xx.xxx Telephone: (000) 000-0000 Fax: (000) 000-0000 Information Security Officer DHCS Information Security Office P.O. Box 997413, MS 6400 Xxxxxxxxxx, XX 00000-0000 Email: xxx@xxxx.xx.xxx Email: xxxxxxxxxxxxxx@xxxx.xx.xxx Fax: (000) 000-0000 Telephone: (000) 000-0000 Telephone: EITS Service Desk (000) 000-0000 or (000) 000-0000 Fax: (000) 000-0000

Privacy Officer DHCS Information Security Officer. See the Exhibit A, Scope of Work exhibit for Program Contract Manager information Privacy Officer Information Protection Unit c/o: Office of HIPAA Compliance Department of Health Care Services X.X. Xxx 000000, XX 0000 Xxxxxxxxxx, XX 00000-0000 Email: xxxxxxxxxxxxxx@xxxx.xx.xxx Telephone: (000) 000-0000; (000) 000-0000 Email: xxxxxxxxxxxxxx@xxxx.xx.xxx Fax: (000) 000-0000 Information Security Officer DHCS Information Security Office P.O. Box 997413, MS 6400 Xxxxxxxxxx, XX 00000-0000 Email: xxx@xxxx.xx.xxx Telephone: ITSD Service Desk (000) 000-0000; (000) 000-0000 Fax: (000) 000-0000 Telephone: EITS Service Desk (000) 000-0000 or (000) 000-0000

Privacy Officer DHCS Information Security Officer. See the Exhibit A, Scope of Work exhibit for Program Contract Manager information Privacy Officer Information Protection Unit c/o: Office of HIPAA Compliance Department of Health Care Services X.X. Xxx 000000, XX 0000 Xxxxxxxxxx, XX 00000-0000 Email: xxxxxxxxxxxxxx@xxxx.xx.xxx Telephone: (000) 000-0000 Fax0000; (866) 866- 0602 Email: (000) 000-0000 xxxxxxxxxxxxxx@xxxx.xx.xxx Information Security Officer DHCS Information Security Office P.O. Box 997413, MS 6400 Xxxxxxxxxx, XX 00000-0000 Email: xxx@xxxx.xx.xxx Telephone: ITSD Service Desk (000) 000-0000; (800) 000- 0000 Fax: (000) 000-0000 TelephoneFax: EITS Service Desk (000) 000-0000 or (000) 000-0000

Privacy Officer DHCS Information Security Officer. See the Exhibit A, Scope of Work exhibit for Program Contract Manager information Privacy Officer Information Protection Unit c/o: Office of HIPAA Compliance Department of Health Care Services X.X. Xxx 000000, XX 0000 Xxxxxxxxxx, XX 00000-0000 Email: xxxxxxxxxxxxxx@xxxx.xx.xxx Telephone: (000) 000-0000 Fax0000; (866) 866- 0602 Email: (000) 000-0000 xxxxxxxxxxxxxx@xxxx.xx.xxx Information Security Officer DHCS Information Security Office P.O. Box 997413, MS 6400 Xxxxxxxxxx, XX 00000-0000 Email: xxx@xxxx.xx.xxx Telephone: ITSD Service Desk (000) 000-0000; (800) 000- 0000 Fax: (000)000-0000 Fax: (000) 000-0000 Telephone: EITS Service Desk (000) 000-0000 or (000) 000-0000