Sample Business Associate Contract Provisions

State:
Multi-State
Control #:
US-357EM
Format:
Word; 
Rich Text
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What this document covers

The Sample Business Associate Contract Provisions form provides a framework to help covered entities comply with the Privacy Rule by offering suggested language for contracts between covered entities and business associates. This form differs from standard contracts as it focuses specifically on privacy law compliance without being a binding contract by itself. It is intended to guide users in drafting agreements that meet legal obligations regarding the use and disclosure of protected health information (PHI).

Key parts of this document

  • Statement of intent outlining the purpose of the business associate contract provisions.
  • Definitions of key terms such as "Business Associate," "Covered Entity," and "Protected Health Information."
  • Obligations and activities required of the business associate regarding the protection of PHI.
  • Permissible uses and disclosures by the business associate.
  • Provisions for termination and the effects of termination concerning PHI.
  • Miscellaneous provisions to ensure compliance with privacy regulations.
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When to use this document

This form is needed when a healthcare provider or a business in the healthcare industry needs to draft an agreement with a business associate for handling protected health information. Typical scenarios include collaborations with third-party service providers, consultants, or any entity that may have access to sensitive patient data. Utilizing this form helps ensure that both parties adhere to the required legal standards for privacy and data protection.

Who can use this document

  • Healthcare providers looking to formalize agreements with business associates.
  • Health organizations needing to ensure compliance with the Privacy Rule.
  • Consultants or third-party vendors who handle protected health information on behalf of a healthcare entity.
  • Legal professionals seeking a framework for drafting business associate agreements.

Instructions for completing this form

  • Identify and clearly state the names of the covered entity and business associate.
  • Define key terms relevant to the agreement to ensure mutual understanding.
  • Outline the obligations of the business associate, particularly in handling protected health information.
  • Specify permissible uses and disclosures of the information according to applicable laws.
  • Detail the agreement’s terms, including termination provisions and conditions for returning or destroying PHI.

Does this form need to be notarized?

Notarization is not commonly needed for this form. However, certain documents or local rules may make it necessary. Our notarization service, powered by Notarize, allows you to finalize it securely online anytime, day or night.

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Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

Form selector

Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

Form selector

We protect your documents and personal data by following strict security and privacy standards.

Typical mistakes to avoid

  • Failing to define key terms, leading to ambiguity in the agreement.
  • Not including specific obligations of the business associate regarding PHI protection.
  • Using generic language without tailoring it to the specific business relationship.
  • Neglecting to consult legal counsel for compliance with both federal and state laws.

Why use this form online

  • Convenient access as it can be downloaded anytime, anywhere.
  • Editability allows for customization based on specific business arrangements.
  • Reliability of professionally drafted content to help ensure legal compliance.

Key takeaways

  • The Sample Business Associate Contract Provisions provide essential guidelines for compliance with privacy regulations.
  • Customization is necessary to reflect the unique arrangement between entities.
  • Consultation with a legal professional is recommended to ensure compliance with state laws.

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FAQ

At its simplest, a Business Associate Agreement (BAA) is a legal contract between a healthcare provider and an individual or organization that will receive access to, transmit, or store Protected Health Information (PHI) as part of its services for the provider.

What Is a Business Associate? A business associate is a person or entity that performs certain functions or activities that involve the use or disclosure of protected health information on behalf of, or provides services to, a covered entity. A member of the covered entity's workforce is not a business associate.

The business associate agreement is a contract that stipulates the types of protected health information (PHI) that will be provided to the business associate, the allowable uses and disclosures of PHI, the measures that must be implemented to protect that information (e.g. encryption at rest and in transit), and the

HIPAA defines businesses associates as a person or entity that provides services to a covered entity that involves the disclosure of PHI. Businesses that would be considered business associates when working with covered entities are: Software companies with access to PHI. Companies in claims processing or collections.

A business associate contract, or business associate agreement, is a written arrangement that specifies each party's responsibilities when it comes to PHI.The satisfactory assurances must be in writing, whether in the form of a contract or other agreement between the covered entity and the business associate.

Business associates of HIPAA covered entities include third-party administrators, billing companies, transcriptionists, cloud service providers, data storage firms electronic and physical records, EHR providers, consultants, attorneys, CPA firms, pharmacy benefits managers, claims processors, collections agencies,

Examples of Business Associates are lawyers, accountants, IT contractors, billing companies, cloud storage services, email encryption services, web hosts, etc. (This list could go on for a while.) You are required to have a Business Associate Agreement with these people.

Common Examples of Business Associates Service providers that are typically Business Associates when accessing PHI are: Answering services. Companies involved in claims processing, repricing or collections (e.g., medical billing companies, collection agencies) Health information exchanges (HIEs), e-prescribing gateways.

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Sample Business Associate Contract Provisions