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2018-545-E Health - Janice Ko dental services agreement.doc
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2018-545-E Health - Janice Ko dental services agreement.doc
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Last modified
9/10/2018 2:51:41 PM
Creation date
9/10/2018 2:25:45 PM
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Contract
Date
9/4/2018
Contract Starting Date
9/10/2018
Contract Ending Date
6/30/2019
Contract Document Type
Contract
Amount
$800.00
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R 2018-545 Health - Janice Ko dental service agreement.doc
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1 <br />October 2013 <br />BUSINESS ASSOCIATE AGREEMENT <br /> <br /> This Business Associate Agreement (“Agreement”) is made effective the 4th day of September, <br />2018, by and between Orange County Government through its Orange County Health Department <br />(“Covered Entity”), and Janice ByungEun Ko, DDS, (“Business Associate”). Covered Entity and <br />Business Associate may be referred herein individually as a “Party” or collectively as the “Parties”. This <br />Agreement supersedes any previously executed Business Associate Agreement between the Parties. <br /> <br />WITNESSETH: <br /> <br /> WHEREAS, Sections 261 through 264 of the federal Health Insurance Portability and <br />Accountability Act of 1996 (“HIPAA”), Public Law 104-191, as modified by the Health Information <br />Technology for Economic and Clinical Health Act (“HITECH”), Public Law 111-5, known as “the <br />Administrative Simplification provisions,” direct the Department of Health and Human Services to <br />develop standards to protect the security, confidentiality and integrity of health information; and <br /> <br />WHEREAS, pursuant to the Administrative Simplification provisions, the Secretary of Health and <br />Human Services (“Secretary”) has issued regulations modifying the Privacy, Security, Breach <br />Notification, and Enforcement Rules at 45 CFR Parts 160 and 164, as the same may be amended from <br />time to time (the “HIPAA Security and Privacy Rule”); and <br /> <br />WHEREAS, the Parties wish to enter into or have entered into an arrangement whereby Business <br />Associate will provide certain services to Covered Entity, and, pursuant to such arrangements, Business <br />Associate may be considered a “Business Associate” of Covered Entity as defined in the HIPAA Security <br />and Privacy Rule (the agreement evidencing such arrangement is detailed below and hereinafter referred <br />to as the “Service Agreement(s)”); and <br /> <br />WHEREAS, Business Associate may have access to Protected Health Information (as defined below) in <br />fulfilling its responsibilities under such arrangement; <br /> <br />THEREFORE, in consideration of the Parties’ continuing obligations under the Service Agreement, <br />compliance with the HIPAA Security and Privacy Rule, and other good and valuable consideration, the <br />receipt and sufficiency of which is hereby acknowledged, the Parties agree to the provisions of this <br />Agreement in order to address the requirements of the HIPAA Security and Privacy Rule and to protect <br />the interests of both Parties. <br /> <br />I. DEFINITIONS <br /> <br />(a) Service Agreement. Agreement(s) for services affected by this HIPAA Business <br />Associate Agreement, which this Business Associate Agreement shall be attached to, and is (are) hereby <br />incorporated by reference, and which shall be taken and considered as a part of this document the same as <br />if fully set out herein: <br /> Dental Services <br /> <br />(b) Catch-all Provision. Except as otherwise defined herein, any and all capitalized terms in <br />this Agreement shall have the definitions set forth in the HIPAA Security and Privacy Rule, 45 CFR Parts <br />160 and 164, subparts A and E. In the event of an inconsistency between the provisions of this Agreement <br />and mandatory provisions of the HIPAA Security and Privacy Rule, as amended, the HIPAA Security and <br />Privacy Rule shall control. Where provisions of this Agreement are different than those mandated in the <br />HIPAA Security and Privacy Rule, but are nonetheless permitted by the HIPAA Security and Privacy <br />Rule, the provisions of this Agreement shall control. <br /> <br />(c) Electronic Protected Health Information. Protected Health Information that is transmitted <br />by or maintained in Electronic Media (as defined in the HIPAA Security and Privacy Rule). <br />DocuSign Envelope ID: 99F1EAF2-3FCA-45E2-B94D-040440203D4F
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