Business Associate Agreement - Henry Ford Health System 2026

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  1. Click ‘Get Form’ to open the Business Associate Agreement in the editor.
  2. Begin by entering the Effective Date at the top of the form. This includes the month, day, and year.
  3. Fill in your company name as the Business Associate in the designated field.
  4. Review each section carefully, especially obligations regarding protected health information (PHI). Ensure you understand your responsibilities under HIPAA.
  5. Complete any additional fields as required, such as contact information for notifications and reporting breaches.
  6. Once all sections are filled out accurately, sign and date the agreement at the bottom of the form.
  7. Submit the completed agreement via email or fax to the Information Privacy & Security Office as instructed.

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Active relationship period. The BAA should remain valid for as long as the covered entity and business associate continue working together. As long as the business associate has access to PHI, the agreement must be in place to ensure HIPAA compliance.
Who needs a Business Associate Agreement? Any organization that performs a service for or on behalf of a HIPAA covered entity that involves the sharing of PHI by the covered entity is required to have a Business Associate Agreement.
0:13 26:50 Health. This is a joint venture between Henry Ford Health and Ascension Michigan. My name is LaurenMoreHealth. This is a joint venture between Henry Ford Health and Ascension Michigan. My name is Lauren Zakalik im the director of public relations.
A business associate agreement establishes a legally-binding relationship between HIPAA-covered entities and business associates to ensure complete protection of PHI. This type of agreement is necessary if business associates can potentially access PHI during their work.
Business associates are held to many of the same HIPAA standards as covered entities. Their core responsibilities include: Safeguarding PHI: Implementing appropriate physical, administrative, and technical protections to prevent unauthorized access or bdocHubes.

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