HIPPA_Form.pdf
PDF 237 KB Posted
- Attached to
- AZ|CTR078811
- Contract number
- CTR078811
- Issued by
- Arizona
About this file
This document is a HIPAA Business Associate Agreement between the Arizona Department of Child Safety (ADCS) and Limitless Youth Care LLC. The agreement is dated September 22, 2025, and involves compliance with HIPAA (Health Insurance Portability and Accountability Act) and HITECH Act regulations. The contract is signed by Nicole Verduzco, CEO of Limitless Youth Care LLC, and Lauren Zanotti, the ADCS Procurement Manager.
The document primarily focuses on establishing guidelines for protecting sensitive healthcare information and ensuring compliance with federal privacy regulations. While specific service details are not explicitly outlined in this excerpt, the agreement establishes the contractor's obligations to adhere to HIPAA standards, maintain privacy and security protocols, and cooperate with potential amendments to meet evolving regulatory requirements. The agreement includes provisions for resolving ambiguities in interpretation, with the primary goal of enabling ADCS to comply with HIPAA and HITECH Rules.
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Text version
ii. There is a governmental agency or tribunal finding or stipulation that the Business Associate has violated any standard or requirement of HIPAA, the HITECH Act, the HIPAA regulations or other security or privacy laws.
6.0 MISCELLANEOUS
6.1 HIPAA Reference A reference in this Agreement to HIPAA or the Privacy Rule means the regulation including the HITECH Act of 2009, as in effect on the effective date or as subsequently amended, and for which compliance is required. (45 C.F.R. § 160, §162, and §164 and 42 U.S.C. §17938).
6.2. Amendment. The parties agree to take the action necessary to amend this Agreement from time to time so that ADCS may comply with the requirements of HIPAA, HITECH, court decisions and any regulatory changes.
6.3 Interpretation. Any ambiguity in this Agreement shall be resolved to permit ADCS to comply with the HIPAA and HITECH Rules.
Contractor hereby acknowledges receipt and acceptance of this HIPAA Business Associate Agreement and that a signed copy must be filed with the ADCS Procurement Office.
The above referenced HIPAA Business Associate Agreement is hereby executed this 22nd day of
September 2025_ by the Arizona Department of Child Safety.
Signature Date
Printed Name ADCS Procurement Manager
Title
Name of Contractor
Printed Name
09/19/2025
Nicole Verduzco
CEO
Limitless Youth Care LLC
File details come from the government source that posted it. Updated .