Form preview

Get the free Qualified Service Organization Business Associate Agreement

Get Form
This document is a business associate agreement between MaineHousing and an agency for sharing information within the Maine Statewide Homeless Management Information System, ensuring compliance with
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign qualified service organization business

Edit
Edit your qualified service organization business form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your qualified service organization business form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing qualified service organization business online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use our professional PDF editor, follow these steps:
1
Set up an account. If you are a new user, click Start Free Trial and establish a profile.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit qualified service organization business. Text may be added and replaced, new objects can be included, pages can be rearranged, watermarks and page numbers can be added, and so on. When you're done editing, click Done and then go to the Documents tab to combine, divide, lock, or unlock the file.
4
Save your file. Select it in the list of your records. Then, move the cursor to the right toolbar and choose one of the available exporting methods: save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud.
With pdfFiller, dealing with documents is always straightforward. Try it right now!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out qualified service organization business

Illustration

How to fill out Qualified Service Organization Business Associate Agreement

01
Identify the parties involved: Clearly state the names and addresses of the Qualified Service Organization (QSO) and the entity that is engaging the QSO.
02
Define the scope of services: Outline the specific services the QSO will provide that require compliance with HIPAA regulations.
03
Include confidentiality clauses: Ensure that the agreement specifies how both parties will handle and protect sensitive healthcare information.
04
Specify compliance obligations: Clearly outline the QSO’s responsibility to comply with HIPAA and other relevant regulations regarding Protected Health Information (PHI).
05
Determine permissions for disclosures: Note any circumstances under which PHI may be shared with third parties.
06
Establish terms of termination: Define how and under what circumstances the agreement can be terminated by either party.
07
Sign the agreement: Ensure that authorized representatives from both parties sign the document to make it legally binding.

Who needs Qualified Service Organization Business Associate Agreement?

01
Healthcare providers that require assistance from external service organizations to manage or process patient data.
02
Health plans and insurers that engage third-party vendors for processing claims or other administrative services requiring access to Protected Health Information.
03
Health care clearinghouses that handle the transfer of health information between payers and providers.
04
Any organization providing services that involve handling, storage, or transmission of patient data in a manner covered by HIPAA.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
22 Votes

People Also Ask about

Examples of Business Associates. A third party administrator that assists a health plan with claims processing. A CPA firm whose accounting services to a health care provider involve access to protected health information. An attorney whose legal services to a health plan involve access to protected health information.
If a BAA is not signed when required, both the covered entity and the business associate risk significant penalties for non-compliance with HIPAA regulations. Additionally, they may be liable for any data breaches that occur as a result.
A BAA is a legally binding agreement that a HIPAA covered entity and business associate must enter into to protect PHI. It is mandated by the HIPAA Security Rule. A NDA is also a legally binding agreement — however, it is not required by HIPAA and it is not entered into to ensure the protection of PHI.
Qualified Service Organization Agreement (“QSOA”) as required by 42 CFR Part 2. Accordingly, information obtained by Business Associate relating to individuals who may have. been diagnosed as needing, or who have received, substance use disorder treatment services.
Key Takeaways about HIPAA Business Associates Vendors that "create, receive, maintain, or transmit" PHI while performing a service for a covered entity are considered business associates.
A business associate agreement establishes a legally-binding relationship between HIPAA-covered entities and business associates to ensure complete protection of PHI.
A business associate agreement or BAA is a contract between a HIPAA-covered organization and its business associates. It obliges both sides of the contract to protect personal health information (PHI) and comply with the guidelines provided by HIPAA.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

A Qualified Service Organization Business Associate Agreement is a contract between a healthcare provider and a service organization that provides services involving protected health information (PHI). It ensures compliance with the Health Insurance Portability and Accountability Act (HIPAA) by outlining responsibilities regarding the safeguarding of PHI.
Covered entities, such as healthcare providers, health plans, and healthcare clearinghouses, are required to file a Qualified Service Organization Business Associate Agreement with any service organization that handles PHI on their behalf.
To fill out a Qualified Service Organization Business Associate Agreement, both parties (the covered entity and the service organization) must provide information such as their names, addresses, the scope of services provided, the obligations regarding PHI, and the terms for breach or termination of the agreement.
The purpose of the Qualified Service Organization Business Associate Agreement is to ensure that business associates comply with HIPAA regulations when handling PHI, to protect patient privacy, and to outline safeguard measures that must be in place.
The information that must be reported on the Qualified Service Organization Business Associate Agreement includes the identities of the involved parties, the specific services being provided, confidentiality obligations, provisions for data security, and conditions for the termination and breach of the agreement.
Fill out your qualified service organization business online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.