INSTRUCTIONS FOR COMPLETING THE LIMITED DATA SET DATA USE AGREEMENT (DUA) (CMS-R-0235L)Limited Data Set Data Use Agreement (Dua) • February 20th, 2008
This Agreement is needed to ensure that the disclosure and use of Limited Data Sets derived from a CMS Privacy Act System of Records comply with the Privacy Act of 1974 (5 U.S.C. § 522a) and the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule (45 C.F.R Parts 160 and 164). Directions for the completion of the agreement follow:
INSTRUCTIONS FOR COMPLETING THE LIMITED DATA SET (LDS) DATA USE AGREEMENT (DUA) FORM CMS-R-0235LLimited Data Set Data Use Agreement (Dua) • 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.
