CTR055531_HIPPA_Document.pdf

This document is a Business Associate Agreement (BAA) between the Arizona Department of Child Safety (ADCS) and Easter Seals Blake Foundation, focusing on compliance with the Health Insurance Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health Act (HITECH). The agreement establishes the terms for protecting Protected Health Information (PHI) and Electronic Protected Health Information (ePHI) in accordance with federal and state privacy regulations.

The agreement outlines the responsibilities of Easter Seals Blake Foundation as a Business Associate in handling sensitive health information for ADCS. The document specifies that the Business Associate will use PHI only for purposes necessary to perform specified functions or services for ADCS, with strict limitations on use, disclosure, and protection of the information. Key obligations include implementing appropriate safeguards, reporting any unauthorized use or disclosure of PHI, maintaining confidentiality, and ensuring that any subcontractors or agents are bound by the same privacy and security requirements. The agreement is effective from the date of the last signature and will terminate when all PHI provided by ADCS is destroyed or returned.