S0612-17-ATTACHMENT D-Business Associate Agreement-f00759 S00612 DCTS-17-ATTACHMENT D-f00759Business Associate Agreement • May 5th, 2020 • Wisconsin
Contract Type FiledMay 5th, 2020 JurisdictionThis Business Associate Agreement is incorporated into the Underlying Contract known as and is made between the Wisconsin Department of Health Services, (“Covered Entity”), and the (“Business Associate”), collectively the “Parties.” This Agreement is specific to those services, activities, or functions performed by the Business Associate on behalf of the Covered Entity when such services, activities, or functions are covered by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), including all pertinent regulations (45 CFR Parts 160 and 164) issued by the U.S. Department of Health and Human Services. Services, activities, or functions covered by this Agreement include, but are not limited to:
F-00759 Page 5Business Associate Agreement • May 5th, 2020 • Wisconsin
Contract Type FiledMay 5th, 2020 JurisdictionThis Business Associate Agreement is incorporated into the Underlying Contract known as and is made between the Wisconsin Department of Health Services, (“Covered Entity”), and the (“Business Associate”), collectively the “Parties.” This Agreement is specific to those services, activities, or functions performed by the Business Associate on behalf of the Covered Entity when such services, activities, or functions are covered by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), including all pertinent regulations (45 CFR Parts 160 and 164) issued by the U.S. Department of Health and Human Services. Services, activities, or functions covered by this Agreement include, but are not limited to:
F-00759 Page 2Business Associate Agreement • May 5th, 2020 • Wisconsin
Contract Type FiledMay 5th, 2020 JurisdictionThis Business Associate Agreement is incorporated into the Underlying Contract known as and is made between the Wisconsin Department of Health Services, (“Covered Entity”), and the (“Business Associate”), collectively the “Parties.” This Agreement is specific to those services, activities, or functions performed by the Business Associate on behalf of the Covered Entity when such services, activities, or functions are covered by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), including all pertinent regulations (45 CFR Parts 160 and 164) issued by the U.S. Department of Health and Human Services. Services, activities, or functions covered by this Agreement include, but are not limited to:
DEPARTMENT OF HEALTH SERVICES STATE OF WISCONSIN Division of Enterprise Services F-00759 (01/2018) Contract Name: Enter Text Contract Number: Enter text business associate agreement With ContractBusiness Associate Agreement • May 5th, 2020 • Wisconsin
Contract Type FiledMay 5th, 2020 JurisdictionThis Business Associate Agreement is incorporated into the Underlying Contract known as Enter Text and is made between the Wisconsin Department of Health Services, Enter Text (“Covered Entity”), and the Enter text (“Business Associate”), collectively the “Parties.”
DEPARTMENT OF HEALTH SERVICES STATE OF WISCONSIN Division of Enterprise Services F-00759 (10/2016) Contract Name: Dental Clinics – Increasing Access to Care Contract Number: Enter text business associate agreement With ContractBusiness Associate Agreement • May 5th, 2020
Contract Type FiledMay 5th, 2020This Business Associate Agreement is incorporated into the Underlying Contract known as Dental Clinics – Increasing Access to Care and is made between the Wisconsin Department of Health Services, Division of Public Health (“Covered Entity”), and the Enter text (“Business Associate”), collectively the “Parties.”
DEPARTMENT OF HEALTH SERVICES STATE OF WISCONSIN Division of Enterprise Services F-00759 (10/2016) Contract Name: Enter Text Contract Number: Enter text BUSINESS ASSOCIATE AGREEMENT With ContractBusiness Associate Agreement • May 5th, 2020 • Wisconsin
Contract Type FiledMay 5th, 2020 JurisdictionThis Business Associate Agreement is incorporated into the Underlying Contract known as Enter Text and is made between the Wisconsin Department of Health Services, Enter Text (“Covered Entity”), and the Enter text (“Business Associate”), collectively the “Parties.” This Agreement is specific to those services, activities, or functions performed by the Business Associate on behalf of the Covered Entity when such services, activities, or functions are covered by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), including all pertinent regulations (45 CFR Parts 160 and 164) issued by the U.S. Department of Health and Human Services. Services, activities, or functions covered by this Agreement include, but are not limited to:
BUSINESS ASSOCIATE AGREEMENTBusiness Associate Agreement • September 28th, 2015
Contract Type FiledSeptember 28th, 2015This Business Associate Agreement is incorporated into the Underlying Contract known as (Purchase of Services Contract # Statement of work, etc.) and is made between Shawano County (“Covered Entity”), and the (“Business Associate”), collectively the “Parties.”