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 PDF
7212 3 Contr Ann OTP.pdf PDF
7212 Attachment 2 FeesOTP.pdf PDF
7212 Contract OTP.pdf 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 .