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Business Associate Chain Relationships
1.
HIPAA/HITECH Privacy and
Security • “Upstream:” CE, or BA delegating function • “Downstream:” BA to which function is delegated • “First Tier” BA: BA with direct contract with CE • “Second Tier” BA: BA with direct contract with First Tier BA (and Third, Fourth Tier, etc.) • “Lower Tier” BAs: BAs below First Tier © 2013 Christiansen IT Law 1
2.
HIPAA/HITECH Privacy and
Security • CE is only required to have BAC with First Tier BA • First Tier BA is only required to have BAC with Second Tier BA • And so on © 2013 Christiansen IT Law 2
3.
HIPAA/HITECH Privacy and
Security • BA Services Provider does not perform delegated function, activity or service • BA Services Provider may use, disclose PHI for BA purposes • BA Services Provider may use subcontractors, which are not BAs © 2013 Christiansen IT Law 3