Business Associates Agreement Sample Contracts

Contract
Business Associates Agreement • May 5th, 2020

Sierra County‌Board of Supervisors’ Agenda Transmittal & Record of Proceedings MEETING DATE:August 21, 2018 TYPE OF AGENDA ITEM:Regular TimedConsent DEPARTMENT: Behavioral HealthAPPROVING PARTY: Lea Salas, Administrative DirectorPHONE NUMBER: (530) 993‐6746 AGENDA ITEM: Professional Services Agreement between Dr. Mai Nguyen and Sierra County Behavioral Healthfor psychiatric peer review of medical charts SUPPORTIVE DOCUMENTS ATTACHED: Memo Resolution Agreement Other BACKGROUND INFORMATION: Please see attached Memo FUNDING SOURCE: 0515670GENERAL FUND IMPACT: No General Fund ImpactOTHER FUND:AMOUNT: $10,000 Annually ARE ADDITIONAL PERSONNEL REQUIRED? Yes, ‐‐ ‐‐No IS THIS ITEM ALLOCATED IN THE BUDGET? Yes No IS A BUDGET TRANSFER REQUIRED? Yes No

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Henry Schein Practice Solutions Business Associates Agreement
Business Associates Agreement • September 17th, 2014 • Utah

This BUSINESS ASSOCIATE AGREEMENT (“Agreement”) is entered into on , 20 between Henry Schein Practice Solutions Inc. (“Business Associate”) and _ _

Contract
Business Associates Agreement • May 5th, 2020

Sierra County‌Board of Supervisors’ Agenda Transmittal & Record of Proceedings MEETING DATE:August 21, 2018 TYPE OF AGENDA ITEM:Regular TimedConsent DEPARTMENT: Behavioral HealthAPPROVING PARTY: Lea Salas, Administrative DirectorPHONE NUMBER: (530) 993‐6746 AGENDA ITEM: Professional Services Agreement between Sierra County Child Abuse Council and Sierra County Behavioral Health to conduct the Nurturing Parenting Program through Mental Health Services ActPrevention/Early Intervention funding SUPPORTIVE DOCUMENTS ATTACHED: Memo Resolution Agreement Other BACKGROUND INFORMATION: Please see attached Memo FUNDING SOURCE: 0515670GENERAL FUND IMPACT: No General Fund Impact OTHER FUND: 5671, Prevention/Early Intervention AMOUNT: $31,000.00 Annually ARE ADDITIONAL PERSONNEL REQUIRED? Yes, ‐‐ ‐‐No IS THIS ITEM ALLOCATED IN THE BUDGET? Yes No IS A BUDGET TRANSFER REQUIRED? Yes No

BUSINESS ASSOCIATES AGREEMENT
Business Associates Agreement • June 11th, 2021 • Illinois

This Business Associate Agreement (this "Agreement"), is made as of , , 20 (the "Effective Date"), by and between ("Business Associate") and ("Covered Entity") (collectively the "Parties").

BUSINESS ASSOCIATES AGREEMENT (HIPAA)
Business Associates Agreement • January 23rd, 2014

WHEREAS, Provider, hereinafter referred to in this Exhibit as “Business Associate,” acknowledges that the CDCR, hereinafter referred to in this Exhibit as “Covered Entity,” has in its possession data that contains individual identifiable health information as defined by Health Insurance Portability and Accountability Act of 1996, Pub. L. No. 104-191 ("HIPAA") and the regulations promulgated thereunder;

Business Associates Agreement For HIPAA Compliant Agencies
Business Associates Agreement • September 5th, 2006

This Business Associates Agreement is made and executed this the day of , 20 , by and between the Bureau of Housing and Community Development (“BHCD”), Department of School and Community Partnerships (“DSCP”), and (hereinafter referred to as “Agency”) located at .

Business Associates Agreement
Business Associates Agreement • October 15th, 2020

This Privacy Agreement ("Agreement") is effective upon signing this Agreement and is entered into by and between {practice name} ("Covered Entity") and Lemod, LLC. (the "Business Associate").

Business Associates Agreement
Business Associates Agreement • December 18th, 2020 • Texas

If you (“Client”) are a Covered Entity under the HIPAA Rules (as defined herein) and, pursuant to an Agreement between Azurative, LLC, a Texas limited liability company (“Provider”) provide Protected Health Information to Provider, then Provider makes the following agreements regarding the receipt and handling of Protected Health Information protected by the HIPAA Rules. All agreements in this Business Associate Agreement are limited to the receipt and handling of Protected Health Information. Accepting the benefits of this Business Associate Agreement constitutes agreement by Client to the obligations herein stated regarding the relation of the parties as Covered Entity and Business Associate. This Agreement is otherwise a part of, is subject to, and is governed by the Provider’s Terms of Service and is only in effect while the Client is under a paid subscription for its service for the related Client data. Definitions The following terms used in this Agreement have the same meanings

CIMplicity® Business Associates Agreement
® Business Associates Agreement • January 10th, 2020

____________________[entity name] medical practice (“Provider”) and covered entity, (as defined in 45 CFR § 160.103) authorizes Careform, LLC (“Careform”) to act as its business associate (as defined in 45 CFR § 160.103) and to use, disclose, and receive any protected health information (as defined in 45 CFR § 160.103) (“PHI”) for the purposes described in this business associate agreement (“Agreement”).

BUSINESS ASSOCIATES AGREEMENT
Business Associates Agreement • October 2nd, 2023

The Board shall not disclose Protected Health Information (PHI) to any person or entity under contract with the Board without a Business Associate (BA) agreement or Memorandum of Understanding (MOU) which conforms to requirements applicable to BA relationships unless such disclosure is otherwise permitted under federal or Ohio law.

Business Associates Agreement
Business Associates Agreement • February 16th, 2016
BUSINESS ASSOCIATES AGREEMENT UNDER THE HEALTH INSURANCE PORTABILITY AND
Business Associates Agreement • October 4th, 2022

Siskiyou County Health and Human Services Agency, Behavioral Health Division (“County”) 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 "HIPAA Rules").

BUSINESS ASSOCIATES AGREEMENT
Business Associates Agreement • December 16th, 2016

This document is required to be signed by the Business Associate and maintained on file by Covered Entity to comply with Omnibus Rule of 2013, and Effective March 26, 2013. Signatures need to be made by:

Business Associates Agreement of the use of MyDictation
Business Associates Agreement • February 15th, 2010 • Arizona

This agreement is entered into between ZipChart, Inc. an Arizona Corporation , heretofore referred to as “ ZipChart” and registered users of the MyDictation service a product of ZipChart, heretofore to be referred to as “our client”.

Contract
Business Associates Agreement • December 29th, 2010

This Business Associates Agreement is made and executed this the day of , 20 , by and between the Portland Housing Bureau (“PHB”) and (hereinafter

Business Associates Agreement
Business Associates Agreement • December 8th, 2022

This Business Associate Agreement (the “BAA”) is made and entered into as of the effective date of the Services Agreement referenced below (the “Effective Date”) by and between Business Associate and Covered Entity.

Contract
Business Associates Agreement • December 18th, 2018

Sierra CountyBoard of Supervisors’ Agenda Transmittal & Record of Proceedings MEETING DATE:May 21, 2019 TYPE OF AGENDA ITEM:Regular Timed Consent DEPARTMENT: Behavioral HealthAPPROVING PARTY: Lea Salas, Administrative DirectorPHONE NUMBER: (530) 993-6746 AGENDA ITEM: Professional Services Agreement between IDEA Consulting and County of Sierra for SpecialProjects for Behavioral Health SUPPORTIVE DOCUMENTS ATTACHED:List of Suggested Documents Memo Resolution Agreement Other BACKGROUND INFORMATION: Please see attached Memo FUNDING SOURCE: 0515670GENERAL FUND IMPACT: No General Fund ImpactOTHER FUND: 5671AMOUNT: $22,000.00 N/A ARE ADDITIONAL PERSONNEL REQUIRED? Yes, -- --No IS THIS ITEM ALLOCATED IN THE BUDGET? IS A BUDGET TRANSFER REQUIRED? Yes Yes No No SPACE BELOW FOR CLERK’S USE BOARD ACTION:☐Approved☐Approved as amended☐Adopted☐Adopted as amended☐Denied☐Other☐No Action Taken ☐Set public hearingFor: ☐Direction to: ☐Referred to: ☐Continued to: ☐Authorization given to: Resolut

Contract
Business Associates Agreement • June 17th, 2019

Sierra CountyBoard of Supervisors’ Agenda Transmittal & Record of Proceedings MEETING DATE:July 9, 2019 TYPE OF AGENDA ITEM:Regular Timed Consent DEPARTMENT: Behavioral HealthAPPROVING PARTY: Lea Salas, Administrative DirectorPHONE NUMBER: (530) 993-6746 AGENDA ITEM: Professional Services Agreement between Progress House, Inc. and Sierra County for SubstanceUse Disorder Services SUPPORTIVE DOCUMENTS ATTACHED: Memo Resolution Agreement Other BACKGROUND INFORMATION: Please see attached memo FUNDING SOURCE: 0515670GENERAL FUND IMPACT: No General Fund ImpactOTHER FUND: 5680AMOUNT: $ 50,500.00 Annually ARE ADDITIONAL PERSONNEL REQUIRED? Yes, -- --No IS THIS ITEM ALLOCATED IN THE BUDGET? IS A BUDGET TRANSFER REQUIRED? Yes Yes No No SPACE BELOW FOR CLERK’S USE BOARD ACTION:☐Approved☐Approved as amended☐Adopted☐Adopted as amended☐Denied☐Other☐No Action Taken ☐Set public hearingFor: ☐Direction to: ☐Referred to: ☐Continued to: ☐Authorization given to: Resolution 2019- Agreement 2019-

BUSINESS ASSOCIATES AGREEMENT
Business Associates Agreement • June 15th, 2021 • Texas

WHEREAS, Sections 261 through 264 of the federal Health Insurance Portability and Accountability Act of 1996 (commonly known as “HIPAA”), Public Law 104-191, known as “the Administrative Simplification provisions,” direct the Department of Health and Human Services to develop standards to protect the security, confidentiality and integrity of health information; and

BUSINESS ASSOCIATES AGREEMENT
Business Associates Agreement • June 24th, 2019

The Board shall not disclose Protected Health Information (PHI) to any person or entity under contract with the Board without a Business Associate (BA) agreement or Memorandum of Understanding (MOU) which conforms to requirements applicable to BA relationships unless such disclosure is otherwise permitted under federal or Ohio law.

CIMplicity® Business Associates Agreement
® Business Associates Agreement • September 1st, 2021

[entity name] medical practice (“Provider”) and covered entity, (as defined in 45 CFR § 160.103) authorizes Careform, LLC (“Careform”) to act as its business associate (as defined in 45 CFR § 160.103) and to use, disclose, and receive any protected health information (as defined in 45 CFR § 160.103) (“PHI”) for the purposes described in this business associate agreement (“Agreement”).

Charles and Geneva Scott Scottish Rite Communication Disorders Clinic
Business Associates Agreement • September 8th, 2010 • North Carolina
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XXX ##/##-### AGREEMENT BETWEEN STATE OF RHODE ISLAND
Business Associates Agreement • January 8th, 2024

When federal financial assistance rules are applicable to this transaction or any follow-on transactions, the Vendor is at all times acting as a contractor or vendor and not as a sub-recipient or sub- grantee, as those terms are defined in federal financial assistance regulations. It is understood that the Vendor shall be subject to the Vendor’s commercial terms, and only to those mandatory provisions in the federal financial assistance regulations specifically relevant to contractors or vendors.

Contract
Business Associates Agreement • September 12th, 2017

Sierra CountyBoard of Supervisors’ Agenda Transmittal & Record of Proceedings MEETING DATE:September 19, 2017 TYPE OF AGENDA ITEM:Regular TimedConsent DEPARTMENT: Health & Human ServicesAPPROVING PARTY: Vickie Clark, Public Health and Social Services DirectorPHONE NUMBER: (530) 993‐6700 AGENDA ITEM: Professional services agreement between Sierra County Child Abuse Council and Sierra County Social Services SUPPORTIVE DOCUMENTS ATTACHED: Memo Resolution Agreement Other BACKGROUND INFORMATION: This contractual agreement was put in place in over a decade ago as part of new performance outcome expectations required by the Federal Children Bureau back in 2000. Social Services works with the Child Abuse Council through the Family Resource Center to provide the community outreach and education, as well as skills training and resources to achieve goals essential to the safety, permanency, and well‐being of children and families in Sierra County. These outcome requirements are part of Sier

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