Common Contracts
1 similar Medicaid Agency Data Use Agreement contracts
Medicaid Agency DATA USE AGREEMENT (DUA) FORM CMS-R-0235MMedicaid Agency Data Use Agreement • July 6th, 2011
This agreement must be executed prior to the disclosure of data from a CMS Systems of Records containing personally identifiable information (PII) to ensure that the disclosure will comply and the data will be protected in accordance with the requirements of the Privacy Act, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule, the Federal Information Security Management Act of 2002 (FISMA) and CMS data release policies.
