EXHIBIT C - HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • May 9th, 2023
This HIPAA Business Associate Agreement (“Agreement”) between the State and Contractor is agreed to in connection with, and as an exhibit to, the Contract. For purposes of this Agreement, the State is referred to as “Covered Entity” and the Contractor is referred to as “Business Associate”. Unless the context clearly requires a distinction between the Contract and this Agreement, all references to “Contract” shall include this Agreement.
HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • November 13th, 2018
This HIPAA Business Associate Agreement ("BA AGREEMENT") 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 ("UNIVERSITY"), on behalf of its University of California Los Angeles Health System and
HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • August 29th, 2022 • Illinois
entities controlling, under common control with or controlled by it (the "Covered Entity"), and American Association for Accreditation of Ambulatory Surgery Facilities Inc., an Illinois non-profit corporation, ("Business Associate"). Covered Entity and Business Associate may be referred to herein collectively as the "Parties" or individually as "Party".
ATTM 007 – 2017 VERSION HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • January 9th, 2018
The South Carolina Department of Health and Human Services (Covered Entity) and Business Associate agree to the terms of this Agreement for the purpose of protecting the privacy of individually identifiable health information under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) in performing the functions, activities, or services for, or on behalf of, Covered Entity as specified in the Contract between the parties.
AMENDMENT TO IMPLEMENT HIPAA BUSINESS ASSOCIATE REQUIREMENTS (UPB=COVERED ENTITY)Hipaa Business Associate Agreement • February 26th, 2009 • New York
THIS AMENDMENT is made as by and between UNIVERSITY PHYSICIANS OF BROOKLYN, INC. located at 450 Clarkson Ave., Brooklyn, NY 11203 (“Covered Entity”), and
ATTM 005 HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • March 12th, 2024
The South Carolina Department of Health and Human Services (Covered Entity) and Business Associate agree to the terms of this Agreement for the purpose of protecting the privacy of individually identifiable health information under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) in performing the functions, activities, or services for, or on behalf of, Covered Entity as specified in the Contract between the parties.
EXHIBIT C HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • December 28th, 2022
This HIPAA Business Associate Agreement (“Agreement”) between the County and Contractor is agreed to in connection with, and as an exhibit to, the Contract. For purposes of this Agreement, the County is referred to as “Covered Entity” and the Contractor is referred to as “Business Associate”. Unless the context clearly requires a distinction between the Contract and this Agreement, all references to “Contract” shall include this Agreement.
Hipaa Business Associate AgreementHipaa Business Associate Agreement • November 30th, 2023 • California
This Exhibit, the HIPAA Business Associate Agreement (“Exhibit”) supplements and is made a part of the underlying agreement (“Agreement”) by and between the County of Alameda, (“County” or “Covered Entity”) and , (“Contractor” or “Business Associate”) to which this Exhibit is attached. This Exhibit is effective as of the effective date of the Agreement.
Attachment T. HIPAA Business Associate AgreementHipaa Business Associate Agreement • July 30th, 2024
(OfferorCompanyName) (hereinafter known as “Business Associate”). Covered Entity and Business Associate shall collectively be known herein as the “Parties.”
JOTFORM HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • July 22nd, 2024
This HIPAA Business Associate Agreement (“HIPAA BAA”) is made between Jotform, Inc., (“Jotform”) and West Branch Drug and Alcohol Abuse Commission (“Covered Entity” or “Customer” ) as an agreement to the Jotform Terms of Use (the “Terms of Use”). This HIPAA BAA is effective as of April 9, 2021 (“Effective Date”), which is the date Customer indicated its acceptance of this HIPAA BAA electronically. This HIPAA BAA was electronically signed by Shea Madden, Executive Director on behalf of Customer on the Effective Date.
Attachment A HIPAA BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement (“Agreement”), effective (“Effective Date”) is entered into by and between (the “Business Associate”) andHipaa Business Associate Agreement • June 20th, 2024 • 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
HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 ("HIPAA") BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • September 25th, 2024
(“Business Associate” or “BA”). This agreement is intended to accomplish the objectives of a HIPAA Business Associate Agreement (“BAA”) as set out in 45 C.F.R. §164.504(e)(3)(i).
HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • February 28th, 2024 • Texas
This HIPAA Business Associate Agreement (“Agreement”) is entered into between Williamson County & Cities Health District (“Covered Entity”) and Williamson County, Texas (“Business Associate”) (collectively, the “Parties”), effective as of the Effective Date.
HIPAA Business Associate AgreementHipaa Business Associate Agreement • March 14th, 2019
This HIPAA Business Associate Agreement (the “Agreement”) is executed by the parties on the dates shown beneath their respective signature lines, but is effective as of , 2014 (the “Effective Date”) by and between (“Covered Entity”) and doForms, Inc. (“Business Associate”).
SECTIO N H. HIPA A PR I VAC Y COM PLIA NCEHipaa Business Associate Agreement • August 13th, 2015 • District of Columbia
For the purpose of this agreement, the Department on Disability Services (DDS), a covered component within the District of Columbia’s Hybrid Entity will be referred to as a “Covered Entity” as that term is defined by the Health Insurance Portability and Accountability Act of 1996, as amended (“HIPAA”) and associated regulations promulgated at 45 CFR Parts 160, 162 and 164 as amended (the “HIPAA Regulations”) and the DDS Contractor named on page 1 of the contract, as a recipient of Protected Health Information or electronic Protected Health Information from the Department on Disability Services (DDS), is a “Business Associate” as that term is defined by HIPAA.
HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • June 9th, 2021 • Delaware
WHEREAS, The Parties have entered, and may in the future enter, into one or more arrangements or agreements (the “Agreement”) which require the Business Associate to perform functions or activities on behalf of, or services for, Covered Entity or a Covered Entity Affiliate (“CE Affiliate”) that involve the use or disclosure of either (a) Protected Health Information (“PHI”) that is subject to the final federal Privacy, Security, Breach Notification and Enforcement Rules (collectively the “HIPAA Rules”) issued pursuant to the Health Insurance Portability and Accountability Act of 1996 (the Act including the HIPAA rules shall be referred to as “HIPAA”) and the Health Information Technology for Economic and Clinical Health Act of 2009 (“HITECH”), or (b) health information relating to substance abuse and treatment (“Part 2 PHI”) protected under the Federal Confidentiality of Alcohol and Drug Abuse Patient Records law and regulations, 42 USC §290dd-2 and 42 CFR Part 2 (collectively, “Part 2
HIPAA Business Associate AgreementHipaa Business Associate Agreement • February 2nd, 2022 • Connecticut
and Questionmark Corporation, a Connecticut corporation, with an address at 333 W 39th Street, Suite 1003, New York, NY 10018 (“Questionmark”). Customer and Questionmark may in this Agreement be referred to singularly as a “Party” and collectively as the “Parties.” This Agreement is effective as of the Effective Date above.
HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • July 25th, 2019 • Minnesota
HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • January 19th, 2016
This Agreement ("Agreement") is made and entered into, effective as of the date of the first written agreement between DAS Health Ventures, Inc., including its affiliates and subsidiaries ("Business Associate"), a provider of EHR, revenue cycle management, consulting and other related services, whose business address is 1000 N. Ashley Drive, Suite 300, Tampa, FL 33602, and Client ("Covered Entity"), a medical clinic, with their address on file with Business Associate. Covered Entity and Business Associate have entered into an agreement for the provision of certain services to Covered Entity by Business Associate (the "Service Agreement").
HIPAA Business Associate AgreementHipaa Business Associate Agreement • September 17th, 2020
The Louisiana Department of Health and Hospitals (Covered Entity) and CCN (Business Associate) agree to the terms of this Agreement for the purpose of protecting the privacy of individually identifiable health information under the Health Insurance Portability and Accountability Act of 1996, Public Law No. 104-191 (“HIPAA”), and regulations promulgated there under by the U.S. Department of Health and Human Services (the “HIPAA Regulations”); and Subtitle D of the Health Information Technology for Economic and Clinical Health Act (the “HITECH Act”), also known as Title XIII of Division A and Title IV of Division B of the American Recovery and Reinvestment Act of 2009, Public Law No. 111-005 (“ARRA”) in performing the functions, activities, or services for, or on behalf of, Covered Entity as specified in the Contract between the parties.
HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • April 16th, 2020 • Pennsylvania
This is a HIPAA Business Associate Agreement (this “Agreement”) by and between Chester County Intermediate Unit (CCIU) located at 455 Boot Road, Downingtown, PA 19335 and
HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • June 14th, 2017
THIS HIPAA BUSINESS ASSOCIATE AGREEMENT (“BAA”) is entered into effective the ____ day of _______, 20__ (“Effective Date”), by and between _______________, on its behalf and on behalf of its subsidiaries and affiliates (“Covered Entity”), and the Regents of the University of Michigan, a Michigan constitutional corporation on behalf of its affiliates (“Business Associate” “BA” or “UM”).
hipaa business associate agreementHipaa Business Associate Agreement • March 21st, 2019
This HIPAA Business Associate Agreement ("Agreement") supplements and is made a part of the master service agreement ("Service Agreement") by and between Houston Independent School District ("Client") acting on behalf of the Houston Independent School District Medical Plan [if all plans listed above are not subject to this BAA, please revise as appropriate to correctly list the covered plan] (collectively, the "Covered Entity") and _____________________________________ (“Business Associate"), and is effective as of ______________________ (the "Effective Date").
HIPAA Business Associate AgreementHipaa Business Associate Agreement • September 19th, 2019
This HIPAA AGREEMENT (“Agreement”) is entered into the day of , 20_ by and between The Children’s Hospital of Alabama (“Covered Entity”) and
SUNY DOWNSTATE MEDICAL CENTER HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • May 27th, 2010 • New York
THIS AGREEMENT is made by and between THE STATE UNIVERSITY OF NEW YORK (“SUNY”), an educational corporation organized and existing under the laws of the State of New York and having its principal offices located at State University Plaza, Albany, New York 12246, acting for and on behalf of SUNY DOWNSTATE MEDICAL CENTER (also known as SUNY Health Science Center at Brooklyn), located at 450 Clarkson Ave., Brooklyn, New York 11203 (“Covered Entity”) and
ADDENDUM TO CONTRACT WITH HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • March 4th, 2005
This Addendum Agreement supplements and is made a part of the contract between the (hereinafter “BUSINESS ASSOCIATE”) and the COUNTY OF PLUMAS (hereinafter “COUNTY”.)
HIPAA BUSINESS ASSOCIATE “PLACEHOLDER PROVISIONS”Hipaa Business Associate Agreement • March 23rd, 2022
During the term of this Agreement, Business Associate (“Associate”) may receive from Covered Entity ("CE"), or may receive or create on behalf of CE, certain confidential health or medical information ("Protected Health Information" or "PHI," as further defined below). This PHI is subject to protection under state and/or federal law, including the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191 ("HIPAA") and regulations promulgated thereunder by the U.S. Department of Health and Human Services ("HIPAA Regulations").
HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • September 27th, 2016 • Arizona
This Business Associate Agreement is intended by Client and Business Associate to serve as a Business Associate Contract as required by HIPAA and its privacy provisions at 45 C.F.R. Parts 160 and 164 (the "Privacy Rule") and security provisions at 45 C.F.R. Parts 160 and 164 (the "Security Rule") and for compliance with the Privacy Rule, Security Rule, the requirements for notification in the event of a breach of PHI in 45 C.F.R. Part 164, subpart D (“ Breach Notification Rule”), and the enforcement provisions in 45 C.F.R. Part 160 (“Enforcement Rule”).
SOLEY FOR NYCDOE RELATED SERVICES CONTRACT AGENCY AND SCHOOL USE ONLY – PLEASE DO NOT DISTRIBUTE TO OTHERSHipaa Business Associate Agreement • March 18th, 2020
If Customer is a Covered Entity or a Business Associate and includes Protected Health Information in Customer Data or FastTrack Data, execution of a license agreement that includes the Online Services Terms (“Agreement”) will incorporate the terms of this HIPAA Business Associate Agreement (“BAA”) into that Agreement. If there is any conflict between a provision in this BAA and a provision in the Agreement, this BAA will control.
AuthNet HIPAA Business Associate AgreementHipaa Business Associate Agreement • February 27th, 2022
WHEREAS, Covered Entity is subject to the “HIPAA Rules,” which for purposes of this Agreement shall include the Privacy Rule, Security Rule,Breach Notification Rule and Enforcement Rule (45 CFR Parts 160 and 164) promulgated by the United States Department of Health and Human Services pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191, as amended;
ASPIRUS, INC. HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • March 12th, 2021
THIS BUSINESS ASSOCIATE AGREEMENT (“Agreement”) is effective , 201_ (“Effective Date”), by and between ASPIRUS, INC., a Wisconsin corporation (“Covered Entity”) and
JOTFORM HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • October 4th, 2020
This HIPAA Business Associate Agreement (“HIPAA BAA”) is made between JotForm, Inc., (“JotForm”) and {YourCompanyName} (“Covered Entity” or “Customer” ) as an agreement to the JotForm Terms of Use (the “Terms of Use”). This HIPAA BAA is effective as of {AgreementDate} (“Effective Date”), which is the date Customer indicated its acceptance of this HIPAA BAA electronically. This HIPAA BAA was electronically signed by {YourFullName}, {YourRole} on behalf of Customer on the Effective Date.
109035 O3 DHHS HIPAA BUSINESS ASSOCIATE AGREEMENT PROVISIONS SERVICES CONTRACTSHipaa Business Associate Agreement • September 27th, 2021
BUSINESS ASSOCIATE. “Business Associate” shall generally have the same meaning as the term “business associate” at 45 CFR § 160.103, and in reference to the party in this Contract, shall mean Contractor.
HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • June 10th, 2022 • Texas
This HIPAA Business Associate Agreement (this “Agreement”) is by and between you (collectively “Covered Entity”) and Backendless Corp, located at 7250 Dallas Parkway, Suite 400, Plano, TX 75024 (“Business Associate”) related to the work to be performed as described below (Covered Entity and Business Associate, each a “Party” and collectively, the “Parties”).
HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • January 13th, 2019
