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Signed Amendment Between Kittitas Co and Ellensburg Family Medicine
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2022-06-21 10:00 AM - Commissioners' Agenda
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Signed Amendment Between Kittitas Co and Ellensburg Family Medicine
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Entry Properties
Last modified
6/28/2022 11:26:00 AM
Creation date
6/28/2022 11:25:41 AM
Metadata
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Template:
Meeting
Date
6/21/2022
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
g
Item
Request to Approve the Professional Services Agreement between Kittitas County and Ellensburg Family Medicine (Modification of the Existing Agreement)
Order
7
Placement
Consent Agenda
Row ID
90804
Type
Agreement
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BusrNEss Assocrlre Annsunuu <br />EXHIBIT "D" To rHe ComRAcr ro wHICH IT ts ATTACHET) <br />This Addendunr is incorporated into the contr$ct to r.vhish this docurnent is attached betrveen <br />Kinitas County Washington on behallof the Ottlce or Dcpaftrnent thereof ('.Covered Entity") <br />and the other party or parties thereto ("Busirress Associate"). The singular shall include ths plural <br />and tl,e plural the singular as requited by tlre context. <br />The Business .A,ssociate acknorvledges and agrees that Protected Health lnfbnnation (PIII) in any <br />fonuat, including electronic PI-II (ePLII), can be used, sh*red, created. retained or transferred <br />only r,vithin the parameters of this document aud the Departmerrt of Health and ['luman Services <br />Privacy Regulations, Code of Federal Regulations, ("CFR"). Title 45, Sections 160 and 164. or <br />as required by larv. <br />CFR Title 45, Sections 160 and 164 and any applicable Washington stahrtory lar,r'{"RCW") or <br />Adnrinish'ative Code ("WAC") provision (Federal and State stahrtory or regulatory staridards <br />applicable to this addendum are collectively refened to as "liuv") are b,v ivay of relbrencc, an <br />integralplrt of this Addendurn as if incorporated in lull. Business Associate is charged r.vith the <br />knorvledge of and agrees to abide by the temrs and conditiorrs of larv. To thc extent that any <br />applicable pruvision of RCW or WAC provides for or mandates any standard diftbring from <br />those of Fetleral law, the standard rnore restrictive oldisclrrsure shall control subject to federal <br />preernption; this applies throughout this Addendum rvithout regard to any fiurher explicit <br />reference to RCW or WAC provisions. <br />l'his Addendum is effective upon signing of this attachment or the contract to rvhich it is <br />attachsd, whichever is prior in time. <br />r. PURPOSq <br />The Covered Entity needs to make available nnd/or disclose to the Business Associate ceftain <br />PHI for manergernent, administration, and legal responsibilities during the normal course of <br />business between tlre palties as referenced in the contract or other agreenrent to r,r'hich this <br />document is attached antl incorporated by refbrence. This document is intendecl to det-urc and <br />incorporate but not lirnit the obligations of the Business Associate lviLh regnrd to its use and <br />protection of that PHI. <br />II. RESPONS.IBILITIES OF BUSINBSS ASSOCIATE <br />The Business Associate hereby agrees to do the tbllolving: <br />A. Use and D_is*o-Sure: Use and/or disclose PHi only as permitted or required by this <br />Addcndum, Health lnsurance Ponabiliry and Accountabilrty Act (HIPAA), and the <br />llealth Infonnation Technology for Economic and Clinical Health Act (Division A, Title <br />XIll of the American Recovery and Reinveshnent Act of 2009, Pub. Lalv I I l-5, 2009 <br />HR l) ("rllTECFl").The Business Associate shall use and disclose PHI only if sLrch use <br />or disclosure, respectively, is in compliance with each applicable requirement of 45 CFIt <br />is164.504(e) or other law. The Business Associate is directly responsible for ftill <br />B. A. A. Attachment Page I of 5
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