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Business Associate Agreement Washtenaw Community Health Organization Effective Date: insert dates Business Associate Agreement is made as of the Effective Date set forth above, by and between Washtenaw
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How to fill out this business associate agreement

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How to fill out this business associate agreement

01
Read the entire business associate agreement thoroughly to understand its terms and conditions.
02
Gather all the necessary information and documentation required to complete the agreement (e.g., company details, contact information, legal representatives, etc.).
03
Begin filling out the agreement by entering the date of agreement and the names of all the parties involved.
04
Next, provide the purpose of the agreement and a brief description of the services provided by the business associate.
05
Review and agree to the confidentiality and safeguarding requirements outlined in the agreement.
06
Specify the duration of the agreement and any termination clauses, if applicable.
07
Define the obligations and responsibilities of both the covered entity and the business associate.
08
Detail the permitted uses and disclosures of protected health information (PHI) and the safeguards in place to protect it.
09
Include provisions for resolving disputes and addressing breaches of the agreement.
10
Review the completed agreement, make any necessary corrections, and have all parties involved sign and date the agreement.
11
Keep a copy of the signed agreement for future reference and compliance purposes.

Who needs this business associate agreement?

01
This business associate agreement is needed by any covered entity or organization that engages the services of a business associate who will have access to their protected health information (PHI).
02
Typically, this includes healthcare providers, health plans, healthcare clearinghouses, and any other entity that transmits, stores, or processes PHI on behalf of a covered entity.
03
Additionally, any business associate who subcontracts with another business associate to perform services involving PHI will also need a business associate agreement.

What is This Business Associate Agreement is made as of the Effective Date set forth above, by and between Washtenaw Community Health Organization (WCHO) and insert name of BA (B Form?

The This Business Associate Agreement is made as of the Effective Date set forth above, by and between Washtenaw Community Health Organization (WCHO) and insert name of BA (B is a Word document that should be submitted to the specific address to provide some info. It needs to be completed and signed, which may be done manually in hard copy, or using a particular solution like PDFfiller. This tool helps to complete any PDF or Word document directly in your browser, customize it depending on your needs and put a legally-binding electronic signature. Right after completion, the user can easily send the This Business Associate Agreement is made as of the Effective Date set forth above, by and between Washtenaw Community Health Organization (WCHO) and insert name of BA (B to the relevant receiver, or multiple recipients via email or fax. The template is printable too thanks to PDFfiller feature and options presented for printing out adjustment. Both in digital and in hard copy, your form will have a neat and professional appearance. Also you can turn it into a template for later, so you don't need to create a new blank form from scratch. All that needed is to edit the ready sample.

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A business associate agreement is a contract between a covered entity and a business associate to ensure that the business associate will safeguard protected health information.
Both covered entities and business associates are required to have a business associate agreement in place.
The agreement should include specific provisions outlining how protected health information will be handled, including privacy and security measures.
The purpose of the business associate agreement is to protect the privacy and security of protected health information and ensure compliance with HIPAA regulations.
The agreement should include details on the services provided by the business associate, the permitted uses and disclosures of protected health information, and the responsibilities of each party.
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