Get Cmbhs Security Attestation Form

Completing the Cmbhs Security Attestation Form online is a crucial step in ensuring the security and confidentiality of data within your organization. This guide provides clear, step-by-step instructions to help you fill out the form accurately and efficiently.

Follow the steps to successfully complete the Cmbhs Security Attestation Form online.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editing platform.
2. Enter your organization’s name at the top of the form. Ensure this is accurate as it will identify your agency.
3. Fill in the contact details for the primary Security Administrator, including their name, address, city, state, zip code, phone number, and email.
4. Provide the same information for the back-up Security Administrator in the designated section.
5. List all employees, contracted labor, and subcontractors authorized to access secure data in CMBHS. Include their names and titles. Utilize additional lines if necessary.
6. Initial the section indicating your attestation of no unauthorized personnel having access to secure databases.
7. Confirm that access has been revoked for users no longer authorized and that you maintain an up-to-date user account management system.
8. Acknowledge the maintenance of a security policy that protects confidential information and be aware of the requirement to submit supporting documents to HHSC if requested.
9. Agree to notify HHSC about any changes to the Security Administrator or back-up Security Administrator within 10 business days.
10. Review the form thoroughly for accuracy before signing as the Executive Director. Include your date of signing.
11. Once completed, save your changes, download the final version, and prepare for printing or sharing as necessary.

Begin filling out the Cmbhs Security Attestation Form online to ensure your organization's compliance with security requirements.