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This document outlines the agreement between Eastern Virginia Medical School Academic Physicians and Surgeons Health Services Foundation (EVMS Medical Group) and a Business Associate, focusing on compliance with HIPAA and confidentiality laws regarding Protected Health Information (PHI). It details the responsibilities of the Business Associate in handling PHI, the terms of the agreement, and the conditions for termination.
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How to fill out business associate agreement

How to fill out business associate agreement
01
Identify the parties involved in the agreement, including the covered entity and the business associate.
02
Clearly define the scope of the services the business associate will provide.
03
Specify the safeguards and measures the business associate must implement to protect PHI (Protected Health Information).
04
Outline the permissible uses and disclosures of PHI by the business associate.
05
Include provisions for compliance with HIPAA regulations.
06
Define the term of the agreement and conditions for termination.
07
Include breach notification procedures and responsibilities.
08
Specify the requirements for returning or destroying PHI at the end of the agreement.
Who needs business associate agreement?
01
Healthcare providers who handle PHI and need to share it with third parties.
02
Business associates that perform services on behalf of covered entities that involve PHI.
03
Organizations that engage vendors or contractors that access, process, or store PHI.
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What is business associate agreement?
A Business Associate Agreement (BAA) is a legal contract between a healthcare provider and a business associate, defining the responsibilities of both parties in relation to handling protected health information (PHI) in compliance with HIPAA regulations.
Who is required to file business associate agreement?
Covered entities, such as healthcare providers, health plans, and healthcare clearinghouses, are required to file a business associate agreement with any third-party service providers that have access to PHI.
How to fill out business associate agreement?
To fill out a business associate agreement, both parties should enter their legal business names, identify the scope of work, outline responsibilities for protecting PHI, specify the permitted uses and disclosures of PHI, and include provisions for data breach response.
What is the purpose of business associate agreement?
The purpose of a business associate agreement is to ensure that business associates adhere to HIPAA privacy and security rules when handling PHI on behalf of covered entities.
What information must be reported on business associate agreement?
A business associate agreement must include the names of the parties involved, the specific uses and disclosures of PHI permitted, the safeguards to protect PHI, the terms for reporting breaches, and provisions for termination of the agreement.
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