Sample Business Associate Contract Provisions

State:
Multi-State
Control #:
US-357EM
Format:
Word; 
Rich Text
Instant download

What is this form?

The Sample Business Associate Contract Provisions provides template language to help covered entities comply with privacy regulations, specifically the Privacy Rule under HIPAA. This form outlines necessary provisions that should be included in agreements between covered entities and business associates to ensure proper handling of protected health information. Unlike other contractual forms, this document serves as a guideline rather than enforcing a specific legal requirement, allowing for adaptability based on specific business arrangements.

What’s included in this form

  • Definitions of key terms including Business Associate and Covered Entity.
  • Obligations and activities of the Business Associate regarding the handling of protected health information.
  • Permissions for use and disclosure of protected health information by the Business Associate.
  • Requirements for notification and cooperation from the Covered Entity.
  • Terms outlining the duration of the contract and termination conditions.
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  • Preview Sample Business Associate Contract Provisions
  • Preview Sample Business Associate Contract Provisions
  • Preview Sample Business Associate Contract Provisions
  • Preview Sample Business Associate Contract Provisions

Situations where this form applies

This form is essential when a covered entity and a business associate are entering into a contractual relationship that involves the sharing of protected health information. It is applicable in scenarios where services will be provided that require access to sensitive health records, such as in healthcare settings, data management, or other sectors dealing with health information. This template assists parties in establishing clear legal standards to protect privacy and maintain compliance with applicable laws.

Intended users of this form

  • Healthcare providers looking to contract with external entities for data management.
  • Business associates providing services involving protected health information.
  • Lawyers drafting agreements for healthcare or data handling sectors.
  • Organizations aiming to ensure compliance with the Privacy Rule.

How to prepare this document

  • Identify and insert the names of the Business Associate and Covered Entity.
  • Define key terms and conditions pertinent to the privacy of health information.
  • Specify the obligations of both parties regarding the use and safeguarding of protected health information.
  • Detail permissible disclosures and conditions for such disclosures.
  • Outline termination conditions, including events that would lead to termination of the contract.

Is notarization required?

This form usually doesn’t need to be notarized. However, local laws or specific transactions may require it. Our online notarization service, powered by Notarize, lets you complete it remotely through a secure video session, available 24/7.

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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

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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.

Form selector

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.

Avoid these common issues

  • Failing to specify the obligations of the Business Associate clearly.
  • Not including necessary definitions or terms required by the Privacy Rule.
  • Overlooking the need for terms related to termination and data return or destruction.
  • Assuming all terms in the sample are mandatory without tailoring to specific needs.

Why complete this form online

  • Convenience of immediate access to legal language prepared by licensed attorneys.
  • Editability allows users to adapt the provisions easily to fit specific arrangements.
  • Reliability of using a standardized template to aid compliance with legal requirements.

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