RFP_31786-00192_Appendix_7.9_HIPAA_Business_Associate_Assessment.xlsx

XLSX spreadsheet 12 KB Posted

Attached to
Voluntary, Fully-Insured Vision Insurance Plan - UPDATED
Solicitation number
RFP 31786-00192
Issued by
Tennessee

About this file

This is a HIPAA Business Associate Assessment document in spreadsheet format related to Tennessee's Voluntary, Fully-Insured Vision Insurance Plan RFP. The assessment tool is designed to evaluate potential vision insurance vendors' compliance with Health Insurance Portability and Accountability Act (HIPAA) requirements and their ability to serve as business associates in handling protected health information (PHI). The document establishes a comprehensive evaluation framework that prospective bidders must satisfy to demonstrate their organizational capacity to manage sensitive health data in accordance with federal privacy and security regulations. The assessment appears to function as a pre-qualification or evaluation criterion within the RFP process, ensuring that only vendors meeting strict HIPAA compliance standards are considered for the vision insurance plan contract.

The HIPAA Business Associate Assessment serves as a critical risk mitigation tool for the state, addressing the current environment of heightened healthcare data security requirements and regulatory compliance obligations. By implementing this assessment as part of the procurement process, Tennessee protects beneficiary information and ensures contractual alignment with federal HIPAA standards. The evaluation mechanism allows the state to identify vendors with demonstrated capabilities in data protection, security infrastructure, breach notification protocols, and ongoing compliance monitoring. This structured assessment approach reduces liability exposure and ensures that the selected vision insurance provider maintains appropriate safeguards for all member health information throughout the contract term.

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Text version

Sheet1

HIPAA Business Associate Assessment
Mark "Yes" or "No" for each question Provide requested information.
Name of Organization:
QUESTION:YESNOPlease provide additional information - lines 11, 24, and 26 ONLY
1. Do you know where all Protected Health Information is located

in your company? (Electronic and Physical)

2. Does your company have a designated Privacy Officer?
Provide the Privacy Officer's Name and Contact Information:
3. Does your company have a designated Security Officer?
Provide the Security Officer's Name and Contact Information:
4. Has your company completed an Annual Risk Assessment?
Provide Date Last Risk Assessment was completed:
5. Has your company created or updated HIPAA Privacy & Security Policies & Procedures since February 2013?
Provide Date of Last Update for Privacy & Security Policies & Procedures:
6. Have all employees that have access to PHI completed the training on HIPAA Privacy & Security?
7. Have all employees that have access to PHI completed training for your company's HIPAA Policies & Procedures within the last year?
Explain how employees are trained and how you track their completion:
8. Is your HIPAA Compliance Plan completed and stored in a location where all staff members can find it?
Provide Date HIPAA Compliance Plan was enacted and where it is located:
9. Do you have an Agreement with every Business Associate or

Subcontractor that may have access to PHI?

Provide list of Agreements:
10. Do you currently have Disaster Recovery Plan?
When did you last update the Plan?
11. If you have a Disaster Recovery Plan, have you tested it?
Provide Date Disaster Recovery Plan was last tested:

Appendix 7.9

Sheet2

Sheet3

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