CTR055548_HIPPA_Agreement.pdf

This document is a Business Associate Agreement (BAA) between the Arizona Department of Child Safety (ADCS) and Pilgrim Rest Foundation, Inc., focused on compliance with the Health Insurance Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health Act (HITECH) of 2009. The agreement establishes the terms for protecting Protected Health Information (PHI) and Electronic Protected Health Information (ePHI) in accordance with federal privacy and security standards.

The agreement outlines the responsibilities of the Business Associate in handling sensitive health information, including strict guidelines for use, disclosure, safeguarding, and reporting of PHI. Key obligations include implementing appropriate administrative, physical, and technical safeguards, reporting any unauthorized use or disclosure within one business day, maintaining confidentiality, and ensuring that any subcontractors or agents adhere to the same privacy standards. The document specifies conditions for termination, including potential breach of contract, and requires the Business Associate to return or destroy all PHI upon contract termination. The agreement was executed on June 25, 2021, and is designed to supplement any existing contracts between ADCS and the Business Associate.