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BUSINESS ASSOCIATE ADDENDUM This HIPAA Business Associate Addendum (Addendum) supplements and is made a part of the agreement (Agreement) by and between Greater Columbia Behavioral Health (GCB) and

How to fill out business associate addendum

How to fill out business associate addendum:

1. Obtain the business associate addendum form: The first step in filling out the business associate addendum is to obtain the appropriate form. This form is typically provided by the covered entity with whom you are entering into a business associate agreement.
2. Review the instructions: Before filling out the addendum form, carefully review any accompanying instructions. These instructions will provide guidance on how to complete the form accurately and efficiently.
3. Provide identifying information: Begin by providing your identifying information, including your name, title, and contact details. This information is necessary for both parties to correctly identify the business associate involved.
4. Define the purpose of the agreement: Clearly state the purpose and objective of the business associate agreement. This section should outline the scope of services or activities that the business associate will perform on behalf of the covered entity.
5. Specify permitted uses and disclosure of PHI: One of the essential components of a business associate addendum is outlining the permissible uses and disclosures of protected health information (PHI). Clearly define the circumstances under which PHI may be used or disclosed by the business associate.
6. Obligations of the business associate: In this section, outline the specific obligations and responsibilities of the business associate in protecting the privacy and security of PHI. This may include implementing appropriate safeguards, reporting breaches, and ensuring compliance with applicable laws and regulations.
7. Indemnification and liability: Address any provisions related to indemnification and liability. This section should clearly outline the allocation of liabilities and any potential financial consequences in case of breaches or non-compliance with the terms of the agreement.
8. Signature and date: Once you have carefully filled out all the required sections of the business associate addendum, sign and date the document. Ensure that the covered entity also signs the agreement to indicate mutual acceptance and understanding.

Who needs a business associate addendum:

1. Covered entities: Covered entities are required to enter into business associate agreements and may therefore need a business associate addendum. Covered entities include healthcare providers, health plans, and healthcare clearinghouses.
2. Business associates: Any entity or individual that performs functions or activities on behalf of a covered entity and requires access to protected health information (PHI) is considered a business associate. Business associates also require a business associate addendum to establish their obligations and responsibilities regarding PHI.
3. Subcontractors: If a business associate hires subcontractors or engages in a chain of trust, it is important for them to ensure that their subcontractors are also complying with HIPAA requirements. Having a business associate addendum with subcontractors helps establish the obligations and responsibilities for protecting PHI.

For pdfFiller’s FAQs

What is business associate addendum?

Business associate addendum is a contract between a covered entity and a business associate, outlining how the business associate will protect the covered entity's protected health information.

Who is required to file business associate addendum?

Covered entities are required to have business associate agreements in place with their business associates.

How to fill out business associate addendum?

To fill out a business associate addendum, both parties must agree on the terms outlined in the contract and sign the document.

What is the purpose of business associate addendum?

The purpose of a business associate addendum is to ensure that business associates are compliant with HIPAA regulations and adequately protect the covered entity's protected health information.

What information must be reported on business associate addendum?

The business associate addendum should include details on how the business associate will safeguard protected health information, how breaches will be reported, and other relevant terms.

How can I send business associate addendum for eSignature?

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