MedImpact_BAA_Countersigned.pdf

The document is a Business Associates Addendum (BAA) to a Request for Proposal (RFP) between the State of Arizona, specifically the Arizona Department of Administration's State Procurement Office, and MedImpact Healthcare Systems, Inc. The document is part of a solicitation for Employee Benefits Pharmacy Management services (Solicitation No. BPM001729) and serves to establish HIPAA compliance requirements and privacy protections for protected health information (PHI).

The addendum outlines the terms and obligations for handling protected health information, including specific requirements for use, disclosure, reporting, and safeguarding of PHI. Key provisions include the Business Associate's responsibilities to use PHI only as necessary to perform contracted services, report any unauthorized use or disclosure within 24 hours, implement appropriate safeguards, provide data aggregation services, and maintain strict confidentiality. The contract includes provisions for termination, with the Business Associate required to retain, return, or destroy PHI upon contract conclusion. The document was executed on the 9th day of November 2019, with signatures from representatives of MedImpact Healthcare Systems, Inc. and the Arizona State Procurement Office.