WPC6 &{W͓$ȢETt_b_%9ɰ 8[Td HT5^_ErTOчkK"{^%rjRt!o=(RdcO0  ͺPwy6r^d:{E"ا\:hccR01QiϺg-Z]륝ZfiAq<*8 ` ( ␍߆%U!-etN.}ZB'0XWoyc0.k}+[t7 LQvD扛vDEI%Ѹ$Gy8S Ri;8ߋ&c"t9_ Bp/Kac/6^.60nIygV Vfo{W8;Umi\[#UN % 0: ^ I wU 4Y m | m~ 0c 1u 72m 0w 0 0 0@ 0 0 0 0D 1 72RG 0V 1) 72 1 72i 0U 0~ 0Dn 0 0 0u 0R 0, 0 0 0 0Cv 0 0 0X 0# 0 0 0r! 01" 0@" 0+# 0# 0$ 0% 0Q& 0' 0' 0( 0<E) 0z)UB* 1=+ 72+N+ 0N+ 0J, 0J- 0- 0TZ.^.U> /J/L0N1:T2T2~3 4H555555555 0L4Z6 B6\\oswdc06\OCR-HP8150-508F36E0(9 Z6Times New Roman RegularX($USUS.,԰l.s uz.-nBackup3|xU(;3$2#  0  .3  0  3#37=CIQYag1.a.i.(1)(a)(i)1)a) i)(O;$0  2#  a  .3  0` (#(#(b$0  0` (#(#2#   .3  0 ` (#` (#(xir$0  0` (#(#0 ` (#` (#2#(  0  )3  0 (# (#($0  0` (#(#0 ` (#` (#0 (# (#2#(  a  )3  0h(#(#(F$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#2#(   )3  0h(#h(#($0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#2#  0  )3  0(#(#({$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#2#  a  )3  0p(#(#(F$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#0p(#(#2#     )3  0p(#p(#  xGaeimquy}Bullet ListBullets List  = 'USUS.,  _&&:(# XXXOCRHIPAAPrivacy  NN;(#December3,2002 r   RevisedApril_3,_Ԁ2003 #XXXR#(.3$ !USUS.,  (CEKQW]cioAutoList1A:A:A:A:A:A:A:A:A:(CEKQW]cioAutoList2A:A:A:A:A:A:A:A:A:*+ (_2623  ..(.(3($ !USUS.,      0  (#$  0  *D+J (_25   ," <DL,23  ..  2( 4 <DL2  *A+J (_24   ) <DL)23  ..  2( 4 <DL2  *>+J (_23  ` &<<DL&23  ..  2( 4 <DL2  *;+J (_22   #DL#23  ..  2( 4 <DL2  *8+J (_21    DL 23  ..  2( 4 <DL2  *5+J (_20  h DDL23  ..  2( 4 <DL2  *2+J (_19   L23  ..  2( 4 <DL2  */+J (_18    L23  ..  2( 4 <DL2  * (_1723  Ԁ*DJ (_16   ," <DL,23  Ԁ  2( 4 <DL2  *AJ (_15   ) <DL)23  Ԁ  2( 4 <DL2  *>J (_14  ` &<<DL&23  Ԁ  2( 4 <DL2  *;J (_13   #DL#23  Ԁ  2( 4 <DL2  *8J (_12    DL 23  Ԁ  2( 4 <DL2  *5J (_11  h DDL23  Ԁ  2( 4 <DL2  *2J (_10   L23  Ԁ  2( 4 <DL2  (/J &_9    L23  Ԁ  2( 4 <DL2  ( &_823  (DJ &_7   ," <DL,23   2( 4 <DL2  (AJ &_6   ) <DL)23   2( 4 <DL2  (>J &_5  ` &<<DL&23   2( 4 <DL2  (;J &_4   #DL#23   2( 4 <DL2  (8J &_3    DL 23   2( 4 <DL2  (5J &_2  h DDL23   2( 4 <DL2  (2J &_1   L23   2( 4 <DL2  &/J $_    L23   2( 4 <DL2  <:Default Para(#$?? ,     W>\  `*Times New RomanTTW        XXXW>\  `*Times New RomanTTW ,     \  `*Times New RomanTT xCcgkosw{TrianglesTriangle Bullet?(O$2S+P 0_level1  , ;1` hp x (#;23  ..  8.` hp x (#8  6)&4Hyperlink            0A .Header (#A7X` hp x (#A<  :Body Text In   http://www.hhs.gov/ocr/hipaa/contractprov.html\  `&Times New Romanhttp://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.php?p_sid=UFo3G3Eg&p_lva=&p_li=&p_page=1&p_cat_lvl1=7&p_cat_lvl2=17&phttp://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.php?p_sid=UFo3G3Eg&p_lva=&p_li=&p_page=1&p_cat_lvl1=7&p_cat_lvl2=56&pLhttp://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.php?p_sid=PcnA_JFg&p_lva=&p_li=&p_page=1&p_cat_lvl1=7&p_cat_lvl2=17&http://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.php?p_sid=PcnA_JFg&p_lva=&p_li=&p_page=1&p_cat_lvl1=7&p_cat_lvl2=17&p_search_text=&p_new_search=1http://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.phpPhttp://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.php?p_sid=f47XY6Gg&p_lva=&p_li=&p_page=1&p_cat_lvl1=7&p_cat_lvl2=%7Ehttp://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.php?p_sid=f47XY6Gg&p_lva=&p_li=&p_page=1&p_cat_lvl1=7&p_cat_lvl2=%7Eany%7E&p_search_text=&p_new_search=1&c$""0  d !USUS.,  ______ __  8XXdd8BUSINESS_Ԁ_ASSOCIATES   ____[45_CFR_Ԁ164.502(e),164.504(e),164.532(d)and(e)]_    ___ Background  `     h    _  Bylaw,the_HIPAAPrivacy_ԀRuleappliesonlytocovered_entities!__health_Ԁplans,health Z  careclearinghouses,andcertainhealthcareproviders.However,mosthealthcareprovidersand F  healthplansdonotcarryoutalloftheirhealthcareactivitiesandfunctionsbythemselves. 2t Instead,theyoftenusetheservicesofavarietyofotherpersonsorbusinesses._The_ԀPrivacyRule ` allows_coveredproviders_Ԁand_healthplans_Ԁ_todisclose____Ԁprotected_Ԁhealthinformationtothese  L   business_associatesiftheprov______________ider__s_Ԁor_plans_Ԁ_obtain_______Ԁsatisfactoryassurancesthatthebusiness 8  associatewillusetheinformationonlyforthepurposesforwhich_itwas____engaged_Ԁbythecovered $  _entity,_Ԁ_will_Ԁsafeguardtheinformationfrom_misuse,andwillhelpthecoveredentitycomplywith   someofthecoveredentitysdutiesunderthePrivacyRule._Ԁ_ԀCoveredentitiesmaydisclose   p____rotected_Ԁhealthinformation_______to_Ԁ_____anentityinitsroleasabusiness_Ԁassociateonlytohelpthe   coveredentitycarryoutitshealthcarefunctions!notfor_thebusinessassociatesindependent_   use_orpurposes____,exceptasneededforthepropermanagementandadministrationofthebusiness ~ associate._ j _ How_ԀtheRuleWorks  B _  GeneralProvision.ThePrivacyRulerequiresthatacoveredentityobtainsatisfactory \ assurancesfromitsbusinessassociatethatthebusinessassociatewillappropriatelysafeguardthe H protectedhealthinformationitreceivesorcreatesonbehalfofthecoveredentity.The 4 satisfactoryassurancesmustbeinwriting,whetherintheformofacontractorotheragreement   betweenthecoveredentityandthebusinessassociate.   ___  What_Is_Ԁa_ Business_Ԁ_Associate?_ԀA businessassociateisapersonorentitythat   performscertainfunctionsoractivities_thatinvolvetheuseordisclosureofprotectedhealth ! information_Ԁonbehalfof,orprovidesservicesto,acovered_entity__._ z" _  _Yc  Yc"0 `   Amemberofthecoveredentitysworkforceisnotabusiness_associate.Yc݌R$` (#` (# Ќ    0  Yc  Yc"0` (#(#  Acoveredhealthcareprovider,healthplan,orhealthcareclearinghousecanbea *&l! businessassociateofanothercoveredentity.Yc݌'X"` (#` (# Ќ    ThePrivacyRulelistssomeofthefunctionsoractivities,aswellastheparticular (0!$ services,thatmakeapersonorentityabusinessassociate,iftheactivityorserviceinvolvesthe )"% useordisclosureofprotectedhealthinformation.Thetypesoffunctionsoractivitiesthatmay *#& makeapersonorentityabusinessassociateincludepaymentorhealthcareoperationsactivities, +#' aswellasotherfunctionsoractivitiesregulatedbytheAdministrativeSimplificationRules.  Yc  0  Yc5"0` (#(#  Businessassociatefunctionsandactivitiesinclude:claimsprocessingor   _administration;_Ԁdataanalysis,processingoradministration;utilizationreview;   qualityassurance;billing;benefitmanagement;practicemanagement;and n  repricing.Yc5\݌Z ` (#` (# Ќ    Yc  0  Yc3"0` (#(#  Businessassociateservicesare:legal;actuarial;accounting;consulting;data 2t aggregation;management;administrative;accreditation;andfinancial.Yc3Z݌`` (#` (# Ќ    Seethedefinitionof businessassociateat45_CFR_Ԁ160.103. 8    ExamplesofBusinessAssociates.   0  Yc  Yc^"0` (#(#  Athirdpartyadministratorthatassistsahealthplanwithclaims_processing._Yc^y݌ ` (#` (# Ќ  0  Yc  Ycm"0` (#(#  _ACPA_firmwhoseaccountingservicestoahealthcareproviderinvolveaccessto ~ protectedhealthinformation.Ycm݌j` (#` (# Ќ  Yc  0  Yc"0` (#(#  Anattorneywhoselegalservicestoahealthplaninvolveaccesstoprotected B healthinformation.Yc݌.p` (#` (# Ќ  Yc  0  Yc"0` (#(#  Aconsultantthatperformsutilizationreviewsforahospital.Yc݌H` (#` (# Ќ  Yc  0  Yc"0` (#(#  Ahealthcareclearinghousethattranslatesaclaimfromanonstandardformat   intoastandardtransactiononbehalfofahealthcareproviderandforwardsthe   processedtransactiontoapayer.Yc݌` (#` (# Ќ  Yc  0  Yc#!"0` (#(#  Anindependentmedical_transcriptionist_Ԁthatprovidestranscriptionservicestoa ! physician.Yc#!J!݌z"` (#` (# Ќ  Yc  0  YcT""0` (#(#  Apharmacybenefitsmanagerthatmanagesahealthplanspharmacistnetwork.YcT"{"݌R$` (#` (# Ќ    BusinessAssociateContracts._Ԁ_______Acoveredentitys__contract_Ԁorother_writtenarrangement_ *&l! _withitsbusinessassociatemust_Ԁcontaintheelementsspecifiedat45CFR164.504(e).For 'X" example,thecontract_must: (D # _0  Yc  Yc%"0` (#(#  _Describe___Ԁthepermittedandrequiredusesofprotectedhealthinformationbythe )"% business_associate;Yc%%݌*#&` (#` (# Ќ  0  +#'(#(# 0  Yc  Yc'"0` (#(#  Providethatthebusinessassociatewillnotuseorfurtherdisclosetheprotected  healthinformationotherthanaspermittedorrequiredbythecontractoras  requiredbylaw;andYc'.'݌ ` (#` (# Ќ  0   (#(# 0  Yc  Yc("0` (#(#  Requirethebusinessassociatetouseappropriatesafeguardstopreventauseor n  disclosureoftheprotectedhealthinformationotherthanasprovidedforbythe Z  contract.Yc((݌F ` (#` (# Ќ  0   (#(#   Whereacoveredentityknowsofamaterialbreachorviolationbythebusinessassociate ` ofthecontractoragreement,thecoveredentityisrequiredtotakereasonablestepstocurethe  L  breachorendtheviolation,andifsuchstepsareunsuccessful,toterminatethecontractor 8  arrangement.Ifterminationofthecontractoragreementisnotfeasible,acoveredentityis $  requiredtoreporttheproblemtotheDepartmentofHealthandHumanServices(_HHS_)Office   forCivilRights(OCR).     Samplebusinessassociatecontractlanguageisavailable__on_Ԁ_the_HHS_ԀOCR_Ԁ_Privacyof   Health_ԀInformation___website_Ԁat_4Geg4BO  5  http://www.hhs.gov/ocr/hipaa/contractprov.html6=.BOQ.rds  7egP.. ~   TransitionProvisionsforExistingContracts.Coveredentities(otherthansmallhealth V plans)thathaveanexistingcontract(orotherwrittenagreement)withabusinessassociateprior B toOctober15,2002,arepermittedtocontinuetooperateunderthatcontractforuptoone .p additionalyearbeyondtheApril14,2003compliancedate,providedthatthecontractisnot \ renewedormodifiedpriortoApril14,2003.Thistransitionperiodappliesonlytowritten H contractsorotherwrittenarrangements.Oralcontractsorotherarrangementsarenoteligiblefor 4 thetransitionperiod.Coveredentitieswithcontractsthatqualifyarepermittedtocontinueto   operateunderthosecontractswiththeirbusinessassociatesuntilApril14,2004,oruntilthe   contractisrenewedormodified,whicheverissooner,regardlessofwhetherthecontractmeets  theRulesapplicablecontractrequirementsat45_CFR_Ԁ164.502(e)and164.504(e).Acovered   entitymustotherwisecomplywiththePrivacyRule,suchasmakingonlypermissibledisclosures ! tothebusinessassociateandpermittingindividualstoexercisetheirrightsundertheRule. z"   See45_CFR_Ԁ164.532(d)and(e). R$   ExceptionstotheBusinessAssociateStandard.ThePrivacyRuleincludesthefollowing *&l! exceptionstothebusinessassociatestandard.See45_CFR_Ԁ164.502(e).Inthesesituations,a 'X" coveredentityisnotrequiredtohaveabusinessassociatecontractorotherwrittenagreementin (D # placebeforeprotectedhealthinformationmaybedisclosedtothepersonorentity. (0!$   Yc  Yc7"0 `   Disclosuresbyacoveredentitytoahealthcareproviderfortreatmentofthe *#& individual.Yc767݌+#'` (#` (# Ќ    0  0` (#(#Forexample:` (#` (#  ? (y3 " 3"     `  3823  0   Ahospitalisnotrequiredtohaveabusinessassociatecontractwiththe   specialisttowhomitrefersapatientandtransmitsthepatientsmedical n  chartfortreatmentpurposes. 3869݌Z  (# (# Ќ  ! ! ? (yy? " 3"  0  0` (#(# 3>;23  0 ` (#` (#  Aphysicianisnotrequiredtohaveabusinessassociatecontractwitha F  laboratoryasaconditionofdisclosingprotectedhealthinformationforthe 2t treatmentofanindividual. 3>;;݌` (# (# Ќ  " 3"  0  0` (#(# 3<23  0 ` (#` (#  Ahospitallaboratoryisnotrequiredtohaveabusinessassociatecontract  L  todiscloseprotectedhealthinformationtoareferencelaboratoryfor 8  treatmentoftheindividual. 3<B=݌$  (# (# Ќ  Yc  0  Yc>"0` (#(#  Disclosurestoahealthplansponsor,suchasanemployer,byagrouphealthplan,   orbythehealthinsuranceissuerorHMOthatprovidesthehealthinsurance   benefitsorcoverageforthegrouphealthplan,providedthatthegrouphealth   plansdocumentshavebeenamendedtolimitthedisclosuresoroneofthe ~ exceptionsat45_CFR_Ԁ164.504(f)havebeenmet.Yc>>݌j` (#` (# Ќ  Yc  0  Yc%A"0` (#(#  Thecollectionandsharingofprotectedhealthinformationbyahealthplanthatis B apublicbenefitsprogram,suchasMedicare,andanagencyotherthantheagency .p administeringthehealthplan,suchastheSocialSecurityAdministration,that \ collectsprotectedhealthinformationtodetermineeligibilityorenrollment,or H determineseligibilityorenrollment,forthegovernmentprogram,wherethejoint 4 activitiesareauthorizedbylaw.Yc%ALA݌ ` (#` (# Ќ  0   (#(#   OtherSituationsinWhichaBusinessAssociateContractIsNOTRequired.  0   (#(# Yc  0  YcD"0` (#(#  Whenahealthcareproviderdisclosesprotectedhealthinformationtoahealth ! planforpaymentpurposes,orwhenthehealthcareprovidersimplyacceptsa z" discountedratetoparticipateinthehealthplansnetwork.Aproviderthat f# submitsaclaimtoahealthplanandahealthplanthatassessesandpaystheclaim R$ areeachactingonitsownbehalfasacoveredentity,andnotasthe business >%  associateoftheother.YcDD݌*&l!` (#` (# Ќ  0   (#(# Yc  0  YcmG"0` (#(#  Withpersonsororganizations(e.g.,janitorialserviceorelectrician)whose (D # functionsorservicesdonotinvolvetheuseordisclosureofprotectedhealth (0!$ information,andwhereanyaccesstoprotectedhealthinformationbysuch )"% personswouldbeincidental,ifatall.YcmGG݌*#&` (#` (# Ќ   +#' Yc  0  YclI"0` (#(#  Withapersonororganizationthatactsmerelyasaconduitforprotectedhealth  information,forexample,theUSPostalService,certainprivatecouriers,andtheir  electronicequivalents.YclII݌ ` (#` (# Ќ  0  Yc  YcJ"0` (#(#  Amongcoveredentitieswhoparticipateinanorganizedhealthcarearrangement n  (_OHCA_)tomakedisclosuresthatrelatetothejointhealthcareactivitiesofthe Z  _OHCA_.YcJK݌F ` (#` (# Ќ  Yc  0  YcL"0` (#(#  Whereagrouphealthplanpurchasesinsurancefromahealthinsuranceissueror ` HMO.Therelationshipbetweenthegrouphealthplanandthehealthinsurance  L  issuerorHMOisdefinedbythePrivacyRuleasan_OHCA_,withrespecttothe 8  individualstheyjointlyserveorhaveserved.Thus,thesecoveredentitiesare $  permittedtoshareprotectedhealthinformationthatrelatestothejointhealthcare   activitiesofthe_OHCA_.YcLL݌ ` (#` (# Ќ  Yc  0  YcO"0` (#(#  Whereonecoveredentitypurchasesahealthplanproductorotherinsurance,for   example,reinsurance,fromaninsurer.Eachentityisactingonitsownbehalf ~ whenthecoveredentitypurchasestheinsurancebenefits,andwhenthecovered j entitysubmitsaclaimtotheinsurerandtheinsurerpaystheclaim.YcOO݌V` (#` (# Ќ  Yc  0  YcQ"0` (#(#  Todiscloseprotectedhealthinformationtoaresearcherforresearchpurposes, .p eitherwithpatientauthorization,pursuanttoawaiverunder45CFR164.512(_i_), \ orasalimiteddatasetpursuantto45CFR164.514(e).Becausetheresearcheris H notconductingafunctionoractivityregulatedbytheAdministrative 4 SimplificationRules,suchaspaymentorhealthcareoperations,orprovidingone   oftheserviceslistedinthedefinitionof businessassociateat45CFR160.103,   theresearcherisnotabusinessassociateofthecoveredentity,andnobusiness  associateagreementisrequired.YcQQ݌ ` (#` (# Ќ  0   (#(# 0  Yc  YcuU"0` (#(#  Whenafinancialinstitutionprocessesconsumerconductedfinancialtransactions z" bydebit,credit,orotherpaymentcard,clearschecks,initiatesorprocesses f# electronicfundstransfers,orconductsanyotheractivitythatdirectlyfacilitatesor R$ effectsthetransferoffundsforpaymentforhealthcareorhealthplanpremiums. >%  Whenitconductstheseactivities,thefinancialinstitutionisprovidingitsnormal *&l! bankingorotherfinancialtransactionservicestoitscustomers;itisnot 'X" performingafunctionoractivityfor,oronbehalfof,thecoveredentity.YcuUU݌(D #` (#` (# Ќ  HXXXXFrequentlyAskedQuestions#XXXHXX#HXXXX )"%  X#XXXHXY#HXXXXVYToseePrivacyRuleFAQs,clickthedesiredlinkbelow:6Y +#'  X#XXXHX̞Y#HXXXX X#XXXHXbZ# 4JsBO  5  BO  ZBOZ   6ZBclea  7ZHXXXX4K BO  5  FAQsonBusinessAssociates6[BO\clai  7s>\#XXXHX[#HXXXX     X#XXXHX\#dHXXXXd#XXXHX\]# X9%4 4 <DLX94OarBO  5  BO  dHXXXXFAQsonALLPrivacyRuleTopics dBO^   #XXXHXu^#HXXXX6]BOclea  7ar4^dHXXHXԀ   #HXXHX_#HXXHX(Y#HXXHX_##XXXHX_#HXXXXoucanalsogotod#XXXHXX`#4N2 BO  5  BO  HXXXXhttp://_answers.hhs.gov_/cgibin/_hhs.cfg_/_php_/_enduser_/_std_alp.php_B`clea  #XXXHX,a#HXXXX6`Bclea  7!`dHXXHX,#HXXHXb##XXXHX̅b#HXXXXthen 2 t select"PrivacyofHealthInformation/HIPAA"fromtheCategorydropdownlistand  ` clicktheSearchbutton.d#XXXHXec#HXXXX)HXXHX#XHXDd#HXX  L   #XHXd##XXXdd# 4I BO  5    D      Declea      65eBIeclea  7swe