CTR056497_HIPPA_Document.pdf

PDF 518 KB Posted

Attached to
Master Agreement AZ|CTR056497
Contract number
CTR056497
Issued by
Arizona

About this file

This document is a Business Associate Agreement (BAA) between the Arizona Department of Child Safety (ADCS) and Aid to Adoption of Special Kids-AZ (AASK). The agreement is designed to ensure compliance with the Health Insurance Portability & Accountability Act of 1996 (HIPAA) and the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH). It establishes the terms and conditions for handling Protected Health Information (PHI) and Electronic Protected Health Information (ePHI) in accordance with federal and state privacy and security regulations.

The primary focus of the contract is to define the responsibilities of the Business Associate in protecting sensitive health information, including restrictions on use and disclosure of PHI, requirements for safeguarding information, reporting obligations for potential breaches, and protocols for handling, storing, and potentially returning or destroying PHI. The agreement specifies detailed provisions for data management, including de-identification of information, documentation of disclosures, maintaining records for six years, and ensuring that any subcontractors or agents are bound by the same confidentiality and security standards. The document was executed on August 3, 2021, and is appended to an underlying contract between the parties.

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Other files

File Type Posted
Amendment_1.pdf PDF
Attachment_2-B_Experience_and_Capacity.pdf PDF
Attachment_4_Statewide_Coverage.pdf PDF
Exhibit B Limited English Proficiency Policy.pdf PDF
Exhibit F DCS-1227D Closure Report Guidelines.pdf PDF
Exhibit H Submitting an Incident Report vs. Calling the Hotline.docx DOCX document
FY_24_COI_-_DCS_CSR_exp_7.6.24.pdf PDF
Attachment_1_Offer_and_Acceptance_Form.pdf PDF
Attachment_3-B_Key_Personnel_Proposal_Merge.pdf PDF
Exhibit A DCS Data on Successful Placement.docx DOCX document
Exhibit C DCS-1227A Child Specific Recruitment Plan.pdf PDF
Exhibit I Monthly Provider Report.xlsx XLSX spreadsheet
Amendment_2.pdf PDF
Attachment_2-C_Facility_Location_and_Staffing_Chart.pdf PDF
Attachment_2-E_Experience_and_References.pdf PDF
CTR056497_Executed_Contract.pdf PDF
Exhibit E DCS-1227C Closure Report.pdf PDF
Exhibit G CSO-1151A Significant Incident Report.docx DOCX document
Attachment_3-C_Proposed_Subcontractors.pdf PDF
Attachment_2-A_Organization_Profile_Merge.pdf PDF
Attachment_2-D_Listing_of_Employees_and_Subcontractors_Redacted.pdf PDF
Attachment_3-A_Method_of_Approach.pdf PDF
Attachment_3-D_Boycott_of_Israel_Disclosure.pdf PDF
Attachment_5-A_Confidential_Information_Designation.pdf PDF
Attachment_5-B_Conformance_Statements.pdf PDF
CTR056497_07.06.2022_COI.pdf PDF
Exhibit D DCS-1227B Subsequent 90 Day Report.pdf PDF
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Text version

August 1

Tasia Grzecka

File details come from the government source that posted it. Updated .