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.

ADVERTISEMENT

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

4.8 of 5 (21 votes)
  • Form PPP-1136A Business Associate Agreement - Health Insurance Portability and Accountability Act of 1996 - Arizona

    1

  • Form PPP-1136A Business Associate Agreement - Health Insurance Portability and Accountability Act of 1996 - Arizona, Page 2

    2

  • Form PPP-1136A Business Associate Agreement - Health Insurance Portability and Accountability Act of 1996 - Arizona, Page 3

    3

  • Form PPP-1136A Business Associate Agreement - Health Insurance Portability and Accountability Act of 1996 - Arizona, Page 4

    4

  • Form PPP-1136A Business Associate Agreement - Health Insurance Portability and Accountability Act of 1996 - Arizona, Page 5

    5

  • Form PPP-1136A Business Associate Agreement - Health Insurance Portability and Accountability Act of 1996 - Arizona, Page 6

    6

  • Form PPP-1136A Business Associate Agreement - Health Insurance Portability and Accountability Act of 1996 - Arizona, Page 7

    7

  • Form PPP-1136A Business Associate Agreement - Health Insurance Portability and Accountability Act of 1996 - Arizona, Page 1
  • Form PPP-1136A Business Associate Agreement - Health Insurance Portability and Accountability Act of 1996 - Arizona, Page 2
  • Form PPP-1136A Business Associate Agreement - Health Insurance Portability and Accountability Act of 1996 - Arizona, Page 3
  • Form PPP-1136A Business Associate Agreement - Health Insurance Portability and Accountability Act of 1996 - Arizona, Page 4
  • Form PPP-1136A Business Associate Agreement - Health Insurance Portability and Accountability Act of 1996 - Arizona, Page 5
  • Form PPP-1136A Business Associate Agreement - Health Insurance Portability and Accountability Act of 1996 - Arizona, Page 6
  • Form PPP-1136A Business Associate Agreement - Health Insurance Portability and Accountability Act of 1996 - Arizona, Page 7
Prev 1 2 3 4 5 ... 7 Next
ADVERTISEMENT