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7 similar Information Exchange Agreement contracts

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INFORMATION EXCHANGE AGREEMENT BETWEEN CENTERS FOR MEDICARE & MEDICAID SERVICES AND THE PARTICIPATING MEDICAID AGENCY FOR THE DISCLOSURE AND EXCHANGE OF CERTAIN MEDICARE AND MEDICAID DATA OF DUALLY ELIGIBLE INDIVIDUALS CMS AGREEMENT No. 2020-60
Information Exchange Agreement • November 19th, 2021

This Information Exchange Agreement, hereinafter the “Agreement,” establishes the terms, conditions, safeguards, and procedures under which the Centers for Medicare & Medicaid Services (CMS) and the undersigned territory (through or on behalf of the agency that operates the territory’s Medicaid plan – hereinafter the "Participating Medicaid Agency" (PMA)) will exchange certain Personally Identifiable Information (PII) derived from CMS Data regarding dually eligible beneficiaries, including Protected Health Information (PHI), for the purpose of the administration of a number of programs for Dually Eligible Individuals for the [insert name of territory]’s Medicaid agency. This IEA and the corresponding Data Request Attestation (DRA) document the PMA’s assertions regarding its legal authority to request and receive such data, as well as the terms, conditions, safeguards and procedures CMS imposes on the PMA as a condition of the PMA’s receipt of such data.

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