BUSINESS ASSOCIATE AGREEMENT Between ARKANSAS DEPARTMENT OF HUMAN SERVICES AndBusiness Associate Agreement • May 5th, 2020
This Business Associate Agreement (“Agreement”) is made effective on , (the “Effective Date”) by and between the Arkansas Department of Human Services (“Covered Entity”) and , (“Business Associate,”) (collectively, the “Parties”).
BUSINESS ASSOCIATE AGREEMENT BETWEEN THE OFFICE OF MANAGEMENT AND ENTERPRISE SERVICES (COVERED ENTITY) AND __________________ (BUSINESS ASSOCIATE) Definitions Catch-all definitions:Business Associate Agreement • October 20th, 2022 • Oklahoma
The following terms used in this Agreement shall have the same meaning as those terms in the HIPAA Rules: Breach, Data Aggregation, Designated Record Set, Disclosure, Health Care Operations, Individual, Minimum Necessary, Notice of Privacy Practices, Protected Health Information, Required By Law, Secretary, Security Incident, Subcontractor, Unsecured Protected Health Information, and Use.
BUSINESS ASSOCIATE AGREEMENTBusiness Associate Agreement • May 4th, 2020
Covered Entity and Business Associate agree that under entered into by Covered Entity and Business Associate (the “Agreement”), Business Associate provides services for or on behalf of Covered Entity that may involve access to PHI (as defined below) and that, as such, the parties agree as follows:
RFPQ#HSS2022.E2) BUSINESS ASSOCIATE AGREEMENTBusiness Associate Agreement • May 17th, 2022
This Business Associate Agreement (“BAA”) supplements and is made a part of the agreement by and between the City and County of San Francisco, the Covered Entity (“CE”), and [insert name of contractor] (“Contractor”), the Business Associate (“BA”), dated [insert date] (CMS #____) (“Agreement”)]. To the extent that the terms of the Agreement are inconsistent with the terms of this BAA, the terms of this BAA shall control.
HIPAA BUSINESS ASSOCIATE AGREEMENTBusiness Associate Agreement • December 1st, 2023 • Kentucky
represents to Covered Entity, in writing, that (i) the disclosures are Required by Law or (ii) the Business Associate has received from the third party reasonable assurances that the PHI will remain confidential and used or further disclosed only as required by law or for the purposes for which it was disclosed to the third
BUSINESS ASSOCIATE AGREEMENTBusiness Associate Agreement • June 27th, 2022
purposes of the disclosure; and person/entity agrees to notify Business Associate of any breaches of confidentiality in a timely fashion and in writing. Documentation needs to follow the same standards and time frames as item 5 below.
ContractBusiness Associate Agreement • September 6th, 2024
This BUSINESS ASSOCIATE AGREEMENT is between the New Jersey Department of Children and Families (DCF) and its undersigned contractor. This Business Associate Agreement sets forth the responsibilities of the contractor as the Business Associate, and DCF as the Covered Entity, in relationship to Protected Health Information (PHI), as those terms are defined and regulated by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), and the regulations adopted thereunder by the Secretary of the United States Department of Health and Human Services, with the intent that the Covered Entity shall at all times be in compliance with HIPAA and the underlying regulations.
BUSINESS ASSOCIATE AGREEMENTBusiness Associate Agreement • December 14th, 2020
This Business Associate Agreement (the “Agreement”) is made by and between Commissioners of Caroline County (herein known as “Covered Entity”), and University of Maryland Shore Regional Health (herein known as “Business Associate”).
HIPAA BUSINESS ASSOCIATE AGREEMENTBusiness Associate Agreement • May 6th, 2021
This Business Associate Addendum (“HIPAA Addendum”) is an addendum to the InfoSmart Web TM Terms and Conditions (“Terms and Conditions”) pursuant to which Business Associate provides services to you as a Covered Entity that involves the use and/or disclosure of Protected Health Information (“PHI”). This HIPAA Addendum shall be applicable only in the event and to the extent Fisher & Paykel Healthcare, Inc meets, with respect to you, the definition of a Business Associate set forth at 45
§ BUSINESS ASSOCIATE AGREEMENT COUNTY OF TARRANT §Business Associate Agreement • June 11th, 2020 • Texas
This Business Associate Agreement (“BA Agreement”) is between Tarrant County, Texas, (“COUNTY”), and , (“Business Associate”), for the purpose of complying with the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), the Standards for Privacy of Individually Identifiable Health Information (the “Privacy Rule”), and the Standards for Security of Electronic Protected Health Information (the “Security Rule”) promulgated thereunder, and the Health Information Technology for Economic and Clinical Health Act (Division A, Title XIII and Division B, Title IV, of the American Recovery and Reinvestment Act of 2009, Pub. L 111-5) (the “HITECH Act”), and the regulations implementing the HITECH Act and other applicable law with regard to the provision of services to Tarrant County Public Health.
Doctible Business Associate AgreementBusiness Associate Agreement • March 14th, 2023
This BUSINESS ASSOCIATE AGREEMENT (“Agreement”) is entered into on between Doctible, Inc. (“Business Associate”) and (“Provider”). Both parties agree as follows:
BUSINESS ASSOCIATE AGREEMENTBusiness Associate Agreement • July 20th, 2023 • New York
This Agreement supplements the Underlying Agreement and is intended to satisfy the requirements for business associates agreements as set forth in the HIPAA Rules, which requires that the County, as a covered entity, receives adequate assurances that Contractor, as a business associate, will comply with certain obligations with respect to the protected health information received in the course of providing Services to or on behalf of the County and that prohibit the disclosure to or use of protected health information by Contractor if such an agreement is not in place.
ODIGGO INC (DBA: SULLY.AI) BUSINESS ASSOCIATE AGREEMENTBusiness Associate Agreement • August 9th, 2024
Covered Entity: Odiggo, Inc (DBA: Sully.ai), a C-Corporation Delaware Company (“Covered Entity”) and the user of Sully.ai’s Healthcare Copilot. (“Business Associate”, in accordance with the meaning given to those terms at 45 CFR § 164.501). In this BAA, Covered Entity and Business Associate are each a “Party” and, collectively, are the “Parties”.
BUSINESS ASSOCIATE AGREEMENTBusiness Associate Agreement • April 30th, 2024 • New Hampshire
This Business Associate Agreement (“Agreement”) is effective as of (“Effective Date”) which is specifically enumerated at the bottom of this agreement and is by and between User and/or Facility (“Covered Entity”) which is specifically enumerated at the bottom of this agreement and Dido Media, LLC DBA Pogo (“Business Associate”).
COMMONWEALTH OF PENNSYLVANIA BUSINESS ASSOCIATE AGREEMENTBusiness Associate Agreement • April 26th, 2024
WHEREAS, the [Insert Agency Name] (Covered Entity) and (Business Associate) intend to protect the privacy and security of certain Protected Health Information (PHI) to which Business Associate may have access in order to provide goods or services to or on behalf of Covered Entity, in accordance with the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191 (HIPAA), the Health Information Technology for Economic and Clinical Health (HITECH) Act, Title XIII of Division A and Title IV of Division B of the American Recovery and Reinvestment Act of 2009 (ARRA), Pub. L. No. 111-5 (Feb. 17, 2009), the HIPAA Privacy Rule (Privacy Rule), 45 C.F.R. Parts 160 and 164, and the HIPAA Security Rule (Security Rule), 45 C.F.R. Parts 160, 162 and 164, and all other applicable laws; and
Appendix – Business Associate AgreementBusiness Associate Agreement • March 13th, 2024
This Appendix - Business Associate Agreement ("Appendix BAA") supplements and is made a part of any and all agreements entered into by and between The Regents of the University of California, a California corporation ("UC"), on behalf of its University of California Health System and
State of New Jersey DEPARTMENT OF HUMAN SERVICES BUSINESS ASSOCIATE AGREEMENT Between The New Jersey Department of Human Services Division of Developmental Disabilities AND (Add Vendor)Business Associate Agreement • September 13th, 2023 • New Jersey
This Business Associate Agreement (this “Agreement”), is entered into by and between ADD VENDOR, (the “Business Associate”) and the New Jersey Department of Human Services, Division of Developmental Disabilities, (the “Covered Entity”) (collectively the “Parties”).
ATTACHMENT E BUSINESS ASSOCIATE AGREEMENTBusiness Associate Agreement • October 3rd, 2022
This Business Associate Agreement (“Agreement”) is entered into by and between the State of Vermont Agency of Human Services, operating by and through its Vermont Department of Health (“Covered Entity”) and Party identified in this Agreement as Contractor or Grantee above (“Business Associate”). This Agreement supplements and is made a part of the contract or grant (“Contract or Grant”) to which it is attached.
BUSINESS ASSOCIATE AGREEMENTBusiness Associate Agreement • April 4th, 2024
Rutgers, The State University of New Jersey (“Rutgers”), an instrumentality of the State of New Jersey, a public entity, with offices at Winants Hall, 7 College Avenue, New Brunswick, NJ 08901, for itself and on behalf of its organizational unit, Rutgers Biomedical and Health Sciences (“RBHS”), and the unincorporated constituent units therein. Individually and together, Rutgers and RBHS, and all of their other present and future Affiliates, are collectively, “Covered Entity”,
BUSINESS ASSOCIATE AGREEMENT UNDER THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 (HIPAA)Business Associate Agreement • November 11th, 2024
Merced County, a member to the Joint Powers Authority (“JPA”) is a Covered Entity as defined by, and subject to the requirements and prohibitions of, the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191 (HIPAA), and regulations promulgated thereunder, including the Privacy, Security, Breach Notification, and Enforcement Rules at 45 Code of Federal Regulations (C.F.R.) Parts 160 and 164 (collectively, the "HIPAARules").
Business Associate AgreementBusiness Associate Agreement • March 17th, 2023
Business Associate AgreementBusiness Associate Agreement • March 27th, 2020
T his Business Associate Agreement ("Agreement") is entered into this 27th day of March, 2020 (the “Effective Date”), by and between Synergy of Spirit Counseling &Hypnosis, a New York Professional corporation ("Covered Entity") and Doxy.me, LLC
SAMPLEBusiness Associate Agreement • December 3rd, 2020
This Agreement is made effective the ____ of ____, 201_, by and between CLINIC NAME, hereinafter referred to as “Covered Entity”, and YOUR ORGANIZATION, hereinafter referred to as “Business Associate”, (individually, a “Party” and collectively, the “Parties”).
IT Business Associate AgreementBusiness Associate Agreement • November 10th, 2024
To the extent that this Business Associate Agreement is incorporated into the Contract by reference, the Vendor acts as the Business Associate of the agency or agencies designated in Attachment A to this Business Associate Agreement as Covered Entities under the Health Insurance Portability and Accountability Act of 1996, as amended, and the federal regulations published at 45 CFR part 160 and 164.
S0612-17-ATTACHMENT D-Business Associate Agreement-f00759 S00612 DCTS-17-ATTACHMENT D-f00759Business Associate Agreement • May 5th, 2020 • Wisconsin
This 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:
New York City Health and Hospitals Corporation’s Standard Business Associate AgreementBusiness Associate Agreement • May 11th, 2021 • New York
This business associate agreement (the “BAA”) is entered into by and between New York City Health and Hospitals Corporation, located at 125 Worth Street, New York, New York 10013, (“NYC Health + Hospitals”) and , located at (“Business Associate”), each individually referred to as a party (“Party”) and collectively referred to as the parties (“Parties”).
Business Associate AgreementBusiness Associate Agreement • June 20th, 2024 • Texas
This Business Associate Agreement (“Agreement”), effective (“Effective Date”), is entered into by and between The University of Texas on behalf of its (“Covered Entity”) and
Standard Business Associate AgreementBusiness Associate Agreement • May 26th, 2022 • New York
In connection with the Underlying Contact (as defined below), which requires Western New York Clinical Information Exchange, Inc. d/b/a HEALTHeLINK (“HeL” or “Business Associate”), a New York not- for-profit corporation, to be provided with, to have access to, and/or to disclose Protected Health Information (as defined below) that is subject to regulations issued pursuant to the Health Insurance Portability and Accountability Act or 1996 (“HIPAA”) and its implementing regulations codified at 45 C.F.R. parts 160-164, as may be amended from time to time (the “Privacy and Security Rules”) and the Health Information Technology for Economic and Clinical Health Act and the regulations promulgated pursuant to such Act, including the Omnibus Rule effective September 23, 2013, as may be amended from time to time (“HITECH”)(HIPAA, the Privacy and Security Rules, HITECH and the Omnibus Rule together are the “HIPAA Rules”), this Standard Business Associate Agreement (the “Agreement”) is made and e
BUSINESS ASSOCIATE AGREEMENT PROVISIONSBusiness Associate Agreement • February 25th, 2022 • Texas
This Business Associate Agreement (the “Agreement”), is made by and between the Grantee (Business Associate) and the City of Austin, a Texas home rule municipal corporation (Covered Entity) (collectively the “Parties”) to comply with privacy standards adopted by the U.S. Department of Health and Human Services as they may be amended from time to time, 45 C.F.R. parts 160 and 164 (“the Privacy Rule”) and security standards adopted by the U.S. Department of Health and Human Services as they may be amended from time to time, 45 C.F.R. parts 160, 162 and 164, subpart C (“the Security Rule”), and the Health Information Technology for Economic and Clinical Health (HITECH) Act, Title XIII of Division A and Title IV of Division B of the American Recovery and Reinvestment Act of 2009 and regulations promulgated thereunder, and any applicable state confidentiality laws.
Form Of Standard Business Associate AgreementBusiness Associate Agreement • July 2nd, 2019 • New York
In connection with the Underlying Contact (as defined below), which requires HEALTH ADVANCEMENT COLLABORATIVE OF CENTRAL NEW YORK, INC. d/b/a
DHHS HIPAA BUSINESS ASSOCIATE AGREEM ENT PROVISIONS SERVICES CONTRACTSBusiness Associate Agreement • September 8th, 2021
BUSINESS ASSOCIATE AGREEMENTBusiness Associate Agreement • October 25th, 2017 • New York
This Business Associate Agreement (“Agreement”), effective (“Effective Date”), is entered into by and between , with principal place of business at (“Business Associate”) and the New York City Health and Hospitals Corporation, with principal place of business at 125 Worth Street, New York, New York 10013 (“Covered Entity”) (each a “Party” and collectively the “Parties”).
ContractBusiness Associate Agreement • April 21st, 2021
THIS BUSINESS ASSOCIATE AGREEMENT (“BA Agreement”) is entered into by and between Boston Scientific Corporation (“Boston Scientific”), with offices at 300 Boston Scientific Way, Marlborough, MA 01752 and the entity or individual (“Provider”) to whom Boston Scientific makes available patient reimbursement assistance by facilitating the preparation and submission of requests for coverage determinations, prior authorizations, pre- certifications and appeals of denied claims, relating to Boston Scientific’s own medical technologies, as allowed under the AdvaMed Code of Ethics on Interactions with Health Care Professionals (“Reimbursement Assistance”). These services require the exchange of information about patients that is protected by the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) as applicable to Business Associates, as well as any amendments or additions thereto, including amendments made by the HITECH Act and GINA (defined below). The Provider is a “Covered
BUSINESS ASSOCIATE AGREEMENTBusiness Associate Agreement • December 5th, 2022
This Agreement is effective as of , between the Hawaii Employer-Union Health Benefits Trust Fund, State of Hawaii (hereinafter the “STATE”), by its Administrator, whose address is 201 Merchant Street, Suite 1700, Honolulu, Hawaii 96813, and
OKLAHOMA STATE DEPARTMENT OF HEALTH BUSINESS ASSOCIATE AGREEMENTBusiness Associate Agreement • February 1st, 2022 • Oklahoma
This Business Associate Agreement (“BAA”) is effective as of (“Effective Date”), by and between the Oklahoma State Department of Health (“Covered Entity”) and (“Business Associate”).
