Form PPP-1136A Business Associate Agreement - Health Insurance Portability and Accountability Act of 1996 - Arizona

Form PPP-1136A Business Associate Agreement - Health Insurance Portability and Accountability Act of 1996 - Arizona

What Is Form PPP-1136A?

This is a legal form that was released by the Arizona Department of Economic Security - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the PPP-1136A form?A: The PPP-1136A form is a Business Associate Agreement related to the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Q: What is HIPAA?A: HIPAA stands for Health Insurance Portability and Accountability Act of 1996. It is a federal law that protects the privacy and security of health information.

Q: What is a Business Associate Agreement?A: A Business Associate Agreement (BAA) is a contract between a covered entity (such as a healthcare provider) and a business associate (such as a vendor or contractor) that outlines the responsibilities and obligations related to safeguarding protected health information (PHI).

Q: What does the PPP-1136A form include?A: The PPP-1136A form includes provisions for compliance with HIPAA regulations, safeguarding PHI, breach notification, and other related obligations.

Q: Who needs to use the PPP-1136A form?A: The PPP-1136A form is typically used by covered entities and their business associates who need to establish a contractual agreement to ensure compliance with HIPAA regulations.

Q: Is the PPP-1136A form specific to Arizona?A: No, the PPP-1136A form is not specific to Arizona. It can be used by covered entities and business associates across the United States.

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Form Details:

  • Released on February 1, 2022;
  • The latest edition provided by the Arizona Department of Economic Security;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form PPP-1136A by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.

Download Form PPP-1136A Business Associate Agreement - Health Insurance Portability and Accountability Act of 1996 - Arizona

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