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Sample Business Associate Acknowledgment Letter

This letter notifies a business associate that new obligations under HIPAA take effect on February 17, 2010, requiring the business associate to comply directly with HIPAA's privacy and security rules and notify the covered entity of any breaches of protected health information. It requests that the business associate acknowledge its awareness of the new obligations and agreement to comply by having an authorized representative sign and return the letter.

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Venkat Rangan
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644 views1 page

Sample Business Associate Acknowledgment Letter

This letter notifies a business associate that new obligations under HIPAA take effect on February 17, 2010, requiring the business associate to comply directly with HIPAA's privacy and security rules and notify the covered entity of any breaches of protected health information. It requests that the business associate acknowledge its awareness of the new obligations and agreement to comply by having an authorized representative sign and return the letter.

Uploaded by

Venkat Rangan
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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SAMPLE LETTER TO BUSINESS ASSOCIATE February __, 2010 [Insert name and address of business associate] Re: New

Obligations under the Health Insurance Portability and Accountability Act (HIPAA)

Dear ______________: Your organization has been identified as a business associate (as that term is defined in HIPAA) of [insert name of covered entity]. As such, your organization is subject to enhanced HIPAA obligations effective February 17, 2010 as a result of the American Recovery and Reinvestment Act of 2009. Specifically, your organization will be directly obligated to comply with HIPAAs privacy and security rules and will be required to provide our health plan with notification of a breach of unsecured protected health information. The purpose of this letter is to obtain your acknowledgment that (1) you are aware of these enhanced HIPAA obligations and (2) your organization will comply with these obligations. To evidence this acknowledgment, please have an authorized representative of your company sign and date this letter where indicated below and then return the executed copy to me. Thank you for your assistance. Sincerely,

[Insert title of person sending the letter and company name] ______________________________________________________________________________ ACKNOWLEDGMENT BY BUSINESS ASSOCIATE I am an authorized representative of [insert name of business associate] and I hereby acknowledge that (1) [insert name of business associate] is aware of its enhanced obligations under the Health Insurance Portability and Accountability Act of 1996 effective February 17, 2010 and (2) [insert name of business associate] will be in compliance with such obligations on and after February 17, 2010.

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