7212 BAA OTP (1).pdf
PDF 394 KB Posted
- Attached to
- Opioid Addiction Treatment Program DCC
- Contract number
- 410036-W20-ELB7212-GEN-03
- Issued by
- Wisconsin
About this file
This is a Business Associate Agreement between the Wisconsin Department of Corrections (Covered Entity) and Options Treatment Programs, Inc. (Business Associate), executed on July 1, 2019. The agreement is specific to services, activities, or functions performed by the Business Associate on behalf of the Wisconsin Department of Corrections that are covered by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and related regulations. The agreement references an underlying contract number 41036-W20-ELB7212-GEN-03 and incorporates requirements from HIPAA, HITECH Act, and other applicable privacy and security laws.
The agreement governs the Business Associate's handling of Protected Health Information (PHI) in relation to treatment programs provided to the Department of Corrections. Key provisions include requirements for safeguarding PHI, restrictions on use and disclosure of health information, breach notification procedures within one business day, and obligations for data security compliance. The Business Associate must provide access to PHI records, allow audits, and follow specific protocols for amendment or correction of health information. Upon termination, all PHI must be returned or destroyed according to specified procedures. The agreement includes indemnification clauses and automatically incorporates any changes to HIPAA regulations, with obligations surviving contract termination.
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Other files
| File | Type | Posted |
|---|---|---|
| 7212 Attach 1 Deliverables OTP Deliverables.pdf | ||
| 7212 3 Contr Ann OTP.pdf | ||
| 7212 Attachment 2 FeesOTP.pdf | ||
| 7212 Contract OTP.pdf |
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Text version
DocuSign Envelope ID: 981D5451-CB41-40A6-9E2F-A316153DC67F
7/1/2019
| 2019-07-01T14:47:30-0700 | |
| Digitally verifiable PDF exported from www.docusign.com |
File details come from the government source that posted it. Updated .