Signed Amendment Between Kittitas Co and Ellensburg Family Medicine

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conditions that apply tluough this Addendunr to Business Associate lvith respect ttt suclt infonnation. G. ltiqht of Access: l. Fronr time to tiure upon reasonable advance notice, or upon a reasonable determination by Covered Entity that Business Associate has potentially or achrally breached this Addendum, make internal practices, books, and records relating to the use and disclosure of PHI received ti'onr, or created or received by Business Associate on behalf of Covered Entity available to the Covered Entify, or at the request of the Covered Entiry to the Secretarl of Depadnrent of Health and Fluman Services. tbr the purpose of deternrining compliance with HIPAA, HII'ECH, ancl/or this Addendurn. 2. From time to tinle upon reasonable advance notice, or upotl a reasonable deterntination by Covered Entity that Business Associate has poteniially or actually breached this Addendurr, to permit Covered Entity to rcsporrd to a request by art Individual for an accounting of disclosu'es of PHI in accordance rvith 45 CFR $ 164.5?8, or to pernrit Coveretl Entity to respond to a request by an lndividLral for access to PHI in accordtrnce rvith 45 CFR $ 164.524. H, Docuurentation of Disclostrres: Document such disclosures oi PHI and information related to such disclosures as would be reqtrircd for Covcrcd Entity to respond to a request by an Individual for an accounting oFdisclosures of PI-[I in accordance with 45 CFR $ 161.528. Should an individual rnake a request to Covered Entity For an accountittg of disclosures of his or her PHI pursuant Lo 45 CFR $ 164.528, Business Associate agrees to prornptly provide an accountirrg, as specihed under 42 U.S.C, $ 17935(c) (l) and 45 CfR $ 164.528. of disclosures of PHI that have been made by the Business Associate acting on behalf of the Covered Entit_v. The accounting shall be provided by the Busincss Associate to the Covered Entity or to lhe individual, as directed by the Covered Entity. I. Amendments: Nlake any amendments to PHI that the Covered Entity directs or agrees to pursuant to 45 CFR g 164.5?fr at the request of Covered Entity, within five (5) business days of written rcquest by Covered Entity. J. Qther: To the extent the Business Associate is to cany out one or mole ol the cuvered entities obligations under Subpart E of 45 CFR 164, contply lvith the requitements of Subpart E that apply to the covered entity in the pertbnnance of such obligations. tu.PERVIITTED US AND DISCLOSURES BY BUSI ss AssoclATE A. Except as otherwise limited in this Addendum or by law, Business Associate ntay use Protected Health Intbnnation for the proper management and adnrinistration of the Business Associate or to cany out the legal lesponsibilities of the Business Associate, The Business Associate shall limit its use and disclosure of, and requests for, Plll to the minimum necessary as determitred in accordance with 42 tl.S.C. $ 17935(bXl), B. A. A. Attachment Page 3 of 5