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.
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.
Form Details:
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.