STATE OF GEORGIA CONTRACT BETWEENAttachment D Business Associate Agreement • December 15th, 2015 • Georgia
Contract Type FiledDecember 15th, 2015 JurisdictionTHIS CONTRACT is made and entered into by and between the Georgia Department of Community Health (hereinafter referred to as “DCH” or the “Department”) and XXXX (hereinafter referred to as the “Contractor”) and shall be effective on the date signed by the DCH Commissioner after receipt of any approval required by the Centers for Medicare and Medicaid Services (hereinafter referred to as “CMS”) (hereinafter referred to as the “Effective Date”).
ATTACHMENT D: BUSINESS ASSOCIATE AGREEMENTAttachment D: Business Associate Agreement • March 3rd, 2022 • Washington
Contract Type FiledMarch 3rd, 2022 JurisdictionThis Business Associate Agreement (this “Agreement”) is effective as of the 1st day of January, 2022 (“Effective Date”) by and between SALISH BEHAVIORAL HEALTH-ADMINISTRATIVE SERVICES ORGANIZATION (SBHASO) and XXXXX (Contractor) (individually, a “Party” and, collectively, the “Parties”).
CONTRACT NO. 305H-15-XXXAttachment D Business Associate Agreement • May 5th, 2020 • Washington
Contract Type FiledMay 5th, 2020 JurisdictionThis Contract is made and entered into by and between the state of Washington, Department of Veterans Affairs, hereinafter referred to as the "DEPARTMENT", and the (contractor name), (address), (city, State and zip), hereinafter referred to as “CONTRACTOR.”