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WARNING: At a CCL HO HIE Toolkit workgroup meeting March 17, 2011, the consensus was that Business Associate Agreements are not used in California. This document is included for informational purposes,

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What is sample business associate agreement?

A sample business associate agreement is a written contract between a covered entity and a business associate that establishes the permitted and required uses and disclosures of protected health information.

Who is required to file sample business associate agreement?

Covered entities and their business associates are required to have a sample business associate agreement in place.

How to fill out sample business associate agreement?

A sample business associate agreement can be filled out by including the necessary information such as the names of the covered entity and business associate, the permitted uses of protected health information, and the obligations of both parties.

What is the purpose of sample business associate agreement?

The purpose of a sample business associate agreement is to ensure that protected health information is properly safeguarded and used in accordance with HIPAA regulations.

What information must be reported on sample business associate agreement?

The sample business associate agreement must include details on how protected health information will be handled, how breaches will be reported, and the responsibilities of both parties.

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