ContractAttachment E Business Associate Agreement • March 12th, 2021 • Vermont
ContractAttachment E Business Associate Agreement • May 5th, 2020 • Vermont
AMENDMENTAttachment E Business Associate Agreement • May 5th, 2020 • Vermont
It is agreed by and between the State of Vermont, Department of Vermont Health Access (hereafter called the “State”) and North Country Hospital and Health Center, Inc. (hereafter called the “Contractor”) that the contract on the subject of administration of the Blueprint for Health in the Newport Health Service Area, effective October 1, 2015, is hereby amended effective October 1, 2016 as follows:
RETAINER CONTRACT FOR IT PROFESSIONAL SERVICES TILSON TECH MANAGEMENT INC – CONTRACT #32113Attachment E Business Associate Agreement • May 5th, 2020 • Vermont
ATTACHMENT E BUSINESS ASSOCIATE AGREEMENTAttachment E Business Associate Agreement • October 3rd, 2022
This Business Associate Agreement (“Agreement”) is entered into by and between the State of Vermont Agency of Human Services, operating by and through its Vermont Department of Health (“Covered Entity”) and Party identified in this Agreement as Contractor or Grantee above (“Business Associate”). This Agreement supplements and is made a part of the contract or grant (“Contract or Grant”) to which it is attached.
ContractAttachment E Business Associate Agreement • May 14th, 2022 • Vermont
implement a care management model for the Contractor’s Accountable Care Organizations. Detailed services to be provided by the Subrecipient are described in Attachment A.
ATTACHMENT E BUSINESS ASSOCIATE AGREEMENTAttachment E Business Associate Agreement • May 5th, 2020
This Business Associate Agreement (“Agreement”) is entered into by and between the State of Vermont Agency of Human Services, operating by and through its [Insert Name of AHS Department, Office or Division] (“Covered Entity”) and [Insert Name of Contractor/Grantee] (“Business Associate”) as of (“Effective Date”). This Agreement supplements and is made a part of the contract/grant to which it is attached.
AMENDMENTAttachment E Business Associate Agreement • May 5th, 2020 • Vermont
It is agreed between the State of Vermont, Department of Vermont Health Access (hereinafter called “State”) and Northeastern Vermont Regional Hospital (hereinafter called the “Subrecipient”) with principal place of business in St. Johnsbury, VT that the grant dated August 8, 2014 is to be amended November 1, 2015 as follows:
AMENDMENTAttachment E Business Associate Agreement • May 5th, 2020
It is agreed by and between the State of Vermont, Department of Vermont Health Access (hereafter called the “State”) and Trustees of Dartmouth College (hereafter called the “Contractor”) that the contract on the subject of providing regional and statewide learning collaboratives on Medication Assisted Treatment for opioid dependence, effective July 1, 2014, is hereby amended effective July 1, 2015, as follows:
ContractAttachment E Business Associate Agreement • May 5th, 2020 • Vermont
This is a contract for services between the State of Vermont, Agency of Human Services (hereafter called “State”) and Speridian Technologies, LLC, with a principal place of business in 2400 Louisiana Blvd, Building 3, Albuquerque, NM 87110, (hereafter called “Contractor”).
ContractAttachment E Business Associate Agreement • May 5th, 2020 • Vermont
ContractAttachment E Business Associate Agreement • May 5th, 2020 • Vermont
ContractAttachment E Business Associate Agreement • May 5th, 2020 • Vermont
ATTACHMENT C: STANDARD STATE PROVISIONS FOR CONTRACTS AND GRANTSAttachment E Business Associate Agreement • October 4th, 2017 • Vermont
The Party shall defend the State and its officers and employees against all claims or suits arising in whole or in part from any act or omission of the Party or of any agent of the Party. The State shall notify the Party in the event of any such claim or suit, and the Party shall immediately retain counsel and otherwise provide a complete defense against the entire claim or suit.
ContractAttachment E Business Associate Agreement • December 26th, 2016 • Vermont
ContractAttachment E Business Associate Agreement • May 5th, 2020 • Vermont
For the State For the Grantee Name: Mark Larson M. Beatrice Grause, RN, JD, FACHE Phone #: (802) 879-5901 (802) 223-3461 x112 E-mail: mark.larson@state.vt.us bea@vahhs.org
STATE OF GEORGIA CONTRACT BETWEENAttachment E Business Associate Agreement • October 5th, 2017 • Georgia
THIS CONTRACT is made and entered into by and between the Georgia Department of Community Health (hereinafter referred to as “DCH” or the “Department”) and [CONTRACTOR] (hereinafter referred to as the “Contractor”) and shall be effective on the date signed by the DCH Commissioner (hereinafter referred to as the “Effective Date”).
Attachment D - Other Contract Provisions Attachment E - Business Associate AgreementAttachment E Business Associate Agreement • May 5th, 2020 • Vermont
ContractAttachment E Business Associate Agreement • May 5th, 2020 • Vermont
ContractAttachment E Business Associate Agreement • May 5th, 2020 • Vermont
AMENDMENTAttachment E Business Associate Agreement • May 5th, 2020 • Vermont
It is agreed by and between the State of Vermont, Department of Vermont Health Access (hereafter called the “State”) and Gartner Inc. (hereafter called the “Contractor”) that the contract on the subject of personal services generally on the subject of Readiness Assessment, Planning, Requirements, Procurement Support, Quality Assurance Oversight, and Change Management, effective May 16, 2012, is hereby amended effective December 31, 2015 as follows:
AMENDMENTAttachment E Business Associate Agreement • May 5th, 2020
It is agreed by and between the State of Vermont, Department of Vermont Health Access (hereafter called the “State”) and Verscend Technologies, Inc. (hereafter called the “Contractor”) that the contract on the subject of Healthcare Effectiveness Data and Information Set measures, effective December 13, 2016, is hereby amended effective November 6, 2017, as follows:
AMENDMENTAttachment E Business Associate Agreement • May 5th, 2020 • Vermont
It is agreed by and between the State of Vermont, Department of Vermont Health Access (hereafter called the “State”) and Covisint (hereafter called the “Contractor”) that the contract on the subject of providing a disease registry system, effective December 9, 2010, was assigned to Covisint Corporation (“Covisint”) on January 1, 2013 and that the contract is hereby amended effective June 30, 2015, as follows:
ContractAttachment E Business Associate Agreement • May 5th, 2020 • Vermont
STATE OF VERMONT STANDARD CONTRACT FOR SERVICESAttachment E Business Associate Agreement • June 9th, 2022 • Vermont
AMENDMENTAttachment E Business Associate Agreement • June 2nd, 2015 • Vermont
This amendment consists of 17 pages. Except as modified by this amendment and any previous amendments, all provisions of this contract, (#24433) dated July 9, 2013 shall remain unchanged and in full force and effect.
ContractAttachment E Business Associate Agreement • December 29th, 2015 • Vermont
Work performed between January 1, 2016 and the signing or execution of this agreement that is in conformity with Attachment A may be billed under this agreement.
CFDA Title: Medical Assistance Program, Medicaid Title XIX CFDA Number: 93.778Attachment E Business Associate Agreement • May 5th, 2020 • Vermont
For the State For the Subrecipient Name: Emily Trantum Jan Riordan Phone #: 802-879-5946 802-862-8993 ext. 134 E-mail: emily.trantum@state.vt.us jriordan@gbymca.org
ContractAttachment E Business Associate Agreement • May 5th, 2020 • Vermont
Attachment A - Scope of Work to be Performed Attachment B - Payment Provisions Attachment C - Customary State Provisions for Contracts & Grants Attachment E - Business Associates AgreementAttachment E Business Associate Agreement • May 5th, 2020 • Vermont
Attachment F - AHS Customary Provisions Appendix 1 - Operations Metrics Appendix 2 - SFY13 Interface Plan Appendix 3 - Description of Services
AMENDMENTAttachment E Business Associate Agreement • July 24th, 2015 • Vermont
It is agreed by and between the State of Vermont, Department of Vermont Health Access (hereafter called the “State”) and DataStat Inc. (hereafter called the “Contractor”) that the contract on the subject of Patient Experience Survey Results, effective July 28, 2014, is hereby amended effective July 28, 2015 as follows:
AMENDMENTAttachment E Business Associate Agreement • May 5th, 2020 • Vermont
It is agreed by and between the State of Vermont, Department of Vermont Health Access (hereafter called the “State”) and Maurine Gilbert (hereafter called the “Contractor”) that the contract on the subject of providing Expansion and Quality Improvement Facilitator services, effective August 1, 2014, is hereby amended effective July 31, 2015, as follows:
