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Health Services Agreement
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03. March
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2020-03-03 10:00 AM - Commissioners' Agenda
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Health Services Agreement
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Entry Properties
Last modified
3/11/2020 2:05:51 PM
Creation date
3/11/2020 2:05:42 PM
Metadata
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Template:
Meeting
Date
3/3/2020
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Alpha Order
l
Item
Request to Approve Extending the Health Services Agreement between the Kittitas County Sheriff’s Office and Central Washington Comprehensive Mental Health
Order
12
Placement
Consent Agenda
Row ID
60407
Type
Agreement
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Contract # Kittcosheriff-HsAzo20-004 <br />BUSINESS ASSOCIATE/ QUALIFIED SERVICE ORGANIZATION AGREEMENT <br />This Business Associate/ Qualified Service Organization Agreement (,'BA,/QSO Agreement,,) is <br />between <br />Comprehensive Healthcare <br />(Covered Entlty) <br />and <br />(Kittitas County Wash ington) <br />(Business Associote) <br />Recitals <br />Covered Entitywill make availableand/or provide certain Protected Health lnformation and Records {as <br />defined below) to Business Associate in the course of the parties' relationship. <br />Business Associate will make avallable and/or provide certain Protected Health lnformation and Records <br />(as defined below) to Covered Entity in the course of the parties' relationship. <br />ln order to protect the privacy of the Protected Health lnformation and to comply with HIpAA and the <br />HIPAA Regulations {as defined below} as well as the Confidentiality of Substance Use Disorder <br />Patlent Records, 42 C.F.R. Part 2; Covered Entity and Business Associate desire to enter into this <br />BA/qSO Agreement setting forth the terms and conditions of use and disclosure of protected <br />Health lnformation. <br />ln consideration of the mutual promises set forth below, the parties agree as follows: <br />Article 1: Definitions <br />1.1 Business Associate. "Business Associate" shall mean (insert name of Business Associate). <br />confidentiality Rule. "Confidentiality Rule" shall mean the Confidential of Substance Use <br />Disorder Patient Records in 42 CFR Part 2. <br />Covered Entiw. "Covered Entiqy''shall mean Comprehensive Healthcare <br />lndividual. "lndividual" shall have the same meaning as the term "individual" in 45 cFR g <br />164.501 and shall include a person who qualifies as a personal representative in accordance with <br />4s cFR S 16a.s02(el. <br />1,5 HIPAA. "HIPAA" means the Health lnsurance Portability & Accountability Act of 199G, p.L. 104- <br />91. <br />Page 6 <br />t.2 <br />1.3 <br />1.4
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