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:
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.”