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HomeMy WebLinkAbout20233424.tiff RESOLUTION RE: APPROVE AGREEMENT FOR TRANSITION DATA SHARING FOR CASE MANAGEMENT AGENCY(CMA)FUNCTIONS AND AUTHORIZE CHAIR TO SIGN WHEREAS,the Board of County Commissioners of Weld County,Colorado,pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County,Colorado,and WHEREAS,the Board has been presented with an Agreement for Transition Data Sharing for Case Management Agency(CMA)Functions between the County of Weld,State of Colorado, by and through the Board of County Commissioners of Weld County,on behalf of the Department of Human Services, and the Colorado Department of Health Care Policy and Financing, commencing upon full execution of signatures,and ending March 1,2024,with further terms and conditions being as stated in said agreement,and WHEREAS,after review,the Board deems it advisable to approve said agreement,a copy of which is attached hereto and incorporated herein by reference. NOW,THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County,Colorado,that the Agreement for Transition Data Sharing for Case Management Agency(CMA)Functions between the County of Weld,State of Colorado,by and through the Board of County Commissioners of Weld County,on behalf of the Department of Human Services, and the Colorado Department of Health Care Policy and Financing,be,and hereby is,approved. BE IT FURTHER RESOLVED by the Board that the Chair be,and hereby is,authorized to sign said agreement. The above and foregoing Resolution was,on motion duly made and seconded,adopted by the following vote on the 27th day of November,A.D.,2023. BOARD OF COUNTY COMMISSIONERS WELD COUNTY,COLORADO ATTEST: d�,t J L1 „-I; .�-�+.rti1 ..�C.L�D Mike an,Chair Weld County Clerk to the Board ��1 Per L.Buc Pro-Tem BY: �,(J u4- / Deputy Clerk to the Board ♦. '�•��tt K.James ihda AP'' ED AS T .Ross 1361 ounty torney * � i'+ j M6Date of signature: ` Cc'.KW D 2023-3424 OIfo3/2y HR0095 „a- Con-Mief i 7( 3 BOARD OF COUNTY COMMISSIONERS PASS-AROUND REVIEW PASS-AROUND TITLE:State of Colorado Agreement for Transition Data Sharing. DEPARTMENT: Human Services DATE: November 20,2023 PERSON REQUESTING: Jamie Ulrich,Director,Human Services Brief description of the problem/issue:In response to the Case Management Agency(CMA)Request for Proposal(RFP)and subsequent award, known to the Board as Tyler ID#2023-0543,the Department is requesting to enter into a Data Sharing Agreement with the Colorado Department of Health Care Policy& Financing(HCPF).This agreement will allow for the transfer of data from the existing CMA to the Weld County Department of Human Services,who will be assuming CMA functions on March 1,2024.The signed agreement will be shared with the outgoing agency(ies)in the Defined Service Area,which will allow the outgoing CMA to share member information with the incoming CMA. What options exist for the Board? • Approval of the State of Colorado Agreement for Transition Data Sharing. • Deny approval of the State of Colorado Agreement for Transition Data Sharing. Consequences: Data sharing between outgoing and incoming CMAs will not occur. Impacts:CMA records will not be shared with Weld County resulting in the loss of data for clients served. Costs(Current Fiscal Year/Ongoing or Subsequent Fiscal Years): • This is a non-financial Agreement. Recommendation: • Approval of the State of Colorado Agreement for Transition Data Sharing and authorize the Chair to sign. Support Recommendation Schedule Place on BOCC Agenda Work Session Other/Comments: Perry L.Buck,Pro-Tem Mike Freeman,Chair reNE Scott K.James Kevin D.Ross PI- Lori Saine Pass-Around Memorandum;November 20,2023-CMS ID 7636 2023-3424 \/2-1 IVO 095 STATE OF COLORADO AGREEMENT FOR TRANSITION DATA SHARING COVER AND SIGNATURE PAGE State Agency Contractor Department of Health Care Policy and Financing Weld County Department of Human Services Agreement Performance Beginning Date Agreement Expiration Date The date this Agreement for Transition Data Sharing is signed Execution of the Department's Case Management Agency by the Contractor (CMA)Contract with Contractor Agreement Purpose Permit the transfer of data from the Department's existing case management agency designated to serve Weld to Weld County Department of Human Services who will assume Case Management Agency(CMA)functions for Weld for the purposes of preparing the Contractor to begin work under its updated CMA contract prior to the execution of the Contract. Exhibits and Order of Precedence The following Exhibits and attachments are included with this Agreement: 1. Exhibit A,HIPAA Business Associate Addendum 2. Exhibit B,Statement of Work In the event of a conflict or inconsistency between this Agreement and any Exhibit or attachment,such conflict or inconsistency shall be resolved by reference to the documents in the following order of priority: 1. Exhibit A,HIPAA Business Associate Addendum 2. The provisions of the other sections of the main body of this Agreement. 3. Exhibit B,Statement of Work. THE CONTRACTOR AGREES TO THE TERMS OF THIS AGREMENT The person signing this Agreement represents and warrants that they are duly authorized to execute this Agreement and to bind the Party authorizing such signature. CONTRACTOR Weld County Department of Human Services by and through the Board of Weld County Commissioners By: BOCC Chair NV/2 7 2023 Date: x.023—3c42-4 1. PARTIES This Agreement is entered into by and between the STATE OF COLORADO acting by and through the State agency named on the Cover Page for this Agreement(the"State,"the"Department,"or "HCPF")and Contractor named on the Cover Page for this Agreement(the"Contractor") (individually a"Party"and collectively the"Parties").Contractor and the State agree to the terms and conditions in this Agreement. 2. TERM AND EFFECTIVE DATE A. Effective Date This Agreement shall be valid or enforceable upon the Agreement Performance Beginning Date shown on the Cover and Signature Page for this Agreement.Once Contractor has signed this agreement,the Department's acceptance of this agreement shall be documented by providing,or authorizing an existing Contractor to provide,the Department's Protected Health Information(PHI)and other information necessary for Contractor to begin the work described in Exhibit B. B. Term The Parties' respective performances under this Agreement shall commence on the Agreement Performance Beginning Date shown on the Cover Page for this Agreement and shall terminate on the Agreement Expiration Date shown on the Cover Page for this Agreement(the"Term")unless sooner terminated or further extended in accordance with the terms of this Agreement. C. Extension Terms The Parties may agree to extend the Term of this Agreement using an amendment. Except as modified by such amendment,the terms of this Agreement shall apply during the term of the Agreement,as extended through amendments. D. Early Termination The Parties agree that either Party may terminate this agreement by providing notice to the other Party. 3. STATEMENT OF WORK The Contractor shall complete the requirements as described in this Agreement and in accordance with the provisions of Exhibit B. 4. PAYMENTS The Department shall not be responsible to Contractor for any payments under this Agreement. The Department is providing access to information necessary for Contractor to begin performing its transition work described in Exhibit B as its sole obligation under this Agreement. 5. CONFIDENTIAL INFORMATION-STATE RECORDS A. Confidentiality Contractor shall keep confidential,all information provided by the Department(the"State Records"),unless those State Records are publicly available.Contractor shall not,without prior written approval of the State,use,publish,copy,disclose to any third party,or permit the use by any third party of any State Records,except as otherwise stated in this Agreement, permitted by law or approved in Writing by the State.Contractor shall provide for the security Page 1 of 5 of all State Records in accordance with all policies promulgated by the Colorado Office of Information Security and all applicable laws,rules,policies,publications,and guidelines. Contractor shall provide for the security of such data according to the federal Health Insurance Portability and Accountability Act for all PHI,if applicable.Contractor shall immediately forward any request or demand for State Records to the State's principal representative. B. Use,Security,and Retention Contractor shall use,hold and maintain State Records in compliance with any and all applicable laws and regulations in facilities located within the United States,and shall maintain a secure environment that ensures confidentiality of all State Records wherever located.Contractor shall provide the State with access,subject to Contractor's reasonable security requirements,for purposes of inspecting and monitoring access and use of State Records and evaluating security control effectiveness.Upon the expiration or termination of this Agreement,Contractor shall return State Records provided to Contractor or destroy such State Records and certify to the State that it has done so,as directed by the State.If Contractor is prevented by law or regulation from returning or destroying State Records,Contractor warrants it will guarantee the confidentiality of,and cease to use,such State Records. C. Incident Notice and Remediation If Contractor becomes aware of any unauthorized access or other event that is likely to result in unauthorized access to State Records(an"Incident),it shall notify the State immediately and cooperate with the State regarding recovery,remediation,and the necessity to involve law enforcement,as determined by the State.Unless Contractor can establish that none of Contractor or any of its agents,employees,assigns or affiliates are the cause or source of the Incident,Contractor shall be responsible for the cost of notifying each person who may have been impacted by the Incident.After an Incident,Contractor shall take steps to reduce the risk of incurring a similar type of Incident in the future as directed by the State,which may include,but is not limited to,developing and implementing a remediation plan that is approved by the State at no additional cost to the State.The State may,in its sole discretion and at Contractor's sole expense,require Contractor to engage the services of an independent, qualified,State-approved third party to conduct a security audit.Contractor shall provide the State with results of such audit and evidence of Contractor's planned remediation in response to any negative findings. D. Data Protection and Handling Contractor shall ensure that all State Records in the possession of Contractor are protected and handled in accordance with the requirements of this Agreement, including the requirements of any Exhibits hereto,at all times. E. Safeguarding PII Contractor shall provide for the security of all Personally Identifying Information,in a manner and form acceptable to the State,including,without limitation,State non-disclosure requirements,use of appropriate technology,security practices,computer access security, data access security, data storage encryption, data transmission encryption, security inspections,and audits.Contractor shall be a"Third-Party Service Provider"as defined in §24-73-103(1)(i),C.R.S.and shall maintain security procedures and practices consistent with §§24-73-101 et seq.,C.R.S. 6. BREACH OF AGREEMENT Page 2 of 5 In the event of a breach of this Agreement,the aggrieved Party shall give written notice of breach to the other Party.If the notified Party does not cure the Breach of Agreement,at its sole expense, within 30 days after the delivery of written notice,the Party may exercise any of the remedies as described in§7 for that Party.Notwithstanding any provision of this Agreement to the contrary, the State,in its discretion,need not provide notice or a cure period and may immediately terminate this Agreement in whole or in part or institute any other remedy in this Agreement in order to protect the public interest of the State. 7. REMEDIES If the either Party is in breach of any provision of this Agreement and does not cure such breach, the other Party,following the notice and cure period in§6 and the dispute resolution process in§8 shall have all remedies available at law and equity. 8. DISPUTE RESOLUTION Except as herein specifically provided otherwise,disputes concerning the performance of this Agreement which cannot be resolved by the designated Agreement representatives shall be referred in writing to a senior departmental management staff member designated by the State and a senior manager designated by Contractor for resolution. 9. GENERAL PROVISIONS A. Assignment Each Party's rights and obligations under this Agreement are personal and may not be transferred or assigned without the prior,written consent of the other Party,except that the Contractor may assign or transfer them to an affiliate with the same corporate ownership and the State may assign or transfer them to another agency within the State without consent.Any attempt at assignment or transfer in violation of this section shall be void.Any assignment or transfer of a Party's rights and obligations shall be subject to the provisions of this Agreement. B. Binding Effect Except as otherwise provided in§12.A.,all provisions of this Agreement,including the benefits and burdens,shall extend to and be binding upon the Parties'respective successors and assigns. C. Authority Each Party represents and warrants to the other that the execution and delivery of this Agreement and the performance of such Party's obligations have been duly authorized. D. Captions and References The captions and headings in this Agreement are for convenience of reference only,and shall not be used to interpret,define,or limit its provisions.All references in this Agreement to sections (whether spelled out or using the § symbol), subsections, exhibits or other attachments,are references to sections,subsections,exhibits or other attachments contained herein or incorporated as a part hereof,unless otherwise noted. E. Counterparts This Agreement may be executed in multiple,identical,original counterparts,each of which shall be deemed to be an original,but all of which,taken together,shall constitute one and the same agreement. Page 3 of 5 F. Modification Except as otherwise provided in this Agreement,any modification to this Agreement shall only be effective if agreed to in a formal amendment to this Agreement,properly signed by both Parties. G. Severability The invalidity or unenforceability of any provision of this Agreement shall not affect the validity or enforceability of any other provision of this Agreement,which shall remain in full force and effect,provided that the Parties can continue to perform their obligations under this Agreement in accordance with the intent of this Agreement. H. Survival of Certain Agreement Terms Any provision of this Agreement that imposes an obligation on a Party after termination or expiration of this Agreement shall survive the termination or expiration of this Agreement and shall be enforceable by the other Party. I. Third Party Beneficiaries Except for the Parties'respective successors and assigns described in§12.A.,this Agreement does not and is not intended to confer any rights or remedies upon any person or entity other than the Parties.Enforcement of this Agreement and all rights and obligations hereunder are reserved solely to the Parties.Any services or benefits which third parties receive as a result of this Agreement are incidental to this Agreement,and do not create any rights for such third parties. J. Indemnification i. General Indemnification Contractor shall indemnify,save,and hold harmless the State,its employees,agents and assignees(the"Indemnified Parties"),against any and all costs,expenses,claims, damages,liabilities,court awards and other amounts(including attorneys'fees and related costs)incurred by any of the Indemnified Parties in relation to any act or omission by Contractor,or its employees,agents,affiliates,or assignees in connection with this Agreement. ii. Confidential Information Indemnification Disclosure or use of State Confidential Information by Contractor in violation of§5 may be cause for legal action by third parties against Contractor,the State,or their respective agents.Contractor shall indemnify,save,and hold harmless the Indemnified Parties, against any and all claims, damages, liabilities, losses, costs, expenses (including attorneys'fees and costs)incurred by the State in relation to any act or omission by Contractor,or its employees,agents,assigns,or affiliates in violation of §5. 10. COLORADO SPECIAL PROVISIONS A. COMPLIANCE WITH LAW. Contractor shall strictly comply with all applicable federal and State laws,rules,and regulations in effect or hereafter established,including,without limitation,laws applicable to discrimination and unfair employment practices. B. CHOICE OF LAW,JURISDICTION,AND VENUE. Page 4 of 5 Colorado law,and rules and regulations issued pursuant thereto,shall be applied in the interpretation,execution,and enforcement of this Agreement.Any provision included or incorporated herein by reference which conflicts with said laws,rules,and regulations shall be null and void.All suits or actions related to this Agreement shall be filed and proceedings held in the State of Colorado and exclusive venue shall be in the City and County of Denver. Page 5 of 5 EXHIBIT A, HIPAA BUSINESS ASSOCIATES ADDENDUM This HIPAA Business Associate Agreement("Agreement")between the State and Contractor is agreed to in connection with,and as an exhibit to,the Contract.For purposes of this Agreement,the State is referred to as"Covered Entity"and the Contractor is referred to as"Business Associate".Unless the context clearly requires a distinction between the Contract and this Agreement,all references to"Contract"shall include this Agreement. 1.PURPOSE Covered Entity wishes to disclose information to Business Associate,which may include Protected Health Information("PHI").The Parties intend to protect the privacy and security of the disclosed PHI in compliance with the Health Insurance Portability and Accountability Act of 1996("HIPAA"),Pub.L.No. 104-191(1996)as amended by the Health Information Technology for Economic and Clinical Health Act ("HITECH Act")enacted under the American Recovery and Reinvestment Act of 2009("ARRA")Pub.L. No.111-5(2009),implementing regulations promulgated by the U.S.Department of Health and Human Services at 45 C.F.R.Parts 160,162 and 164(the"HIPAA Rules")and other applicable laws,as amended. Prior to the disclosure of PHI,Covered Entity is required to enter into an agreement with Business Associate containing specific requirements as set forth in,but not limited to,Title 45,Sections 160.103,164.502(e) and 164.504(e)of the Code of Federal Regulations("C.F.R.")and all other applicable laws and regulations, all as may be amended. 2.DEFINITIONS The following terms used in this Agreement shall have the same meanings as in the HIPAA Rules:Breach, Data Aggregation,Designated Record Set,Disclosure,Health Care Operations,Individual,Minimum Necessary,Notice of Privacy Practices,Protected Health Information,Required by Law,Secretary,Security Incident,Subcontractor,Unsecured Protected Health Information,and Use. The following terms used in this Agreement shall have the meanings set forth below: a. Business Associate."Business Associate"shall have the same meaning as the term"business associate"at 45 C.F.R.160.103,and shall refer to Contractor. b. Covered Entity."Covered Entity"shall have the same meaning as the term"covered entity"at 45 C.F.R.160.103,and shall refer to the State. c. Information Technology and Information Security. "Information Technology" and "Information Security"shall have the same meanings as the terms"information technology" and"information security",respectively,in§24-37.5-102,C.R.S. Capitalized terms used herein and not otherwise defined herein or in the HIPAA Rules shall have the meanings ascribed to them in the Contract. 3.OBLIGATIONS AND ACTIVITIES OF BUSINESS ASSOCIATE EXHIBIT A,HIPAA BAA Page 1 of 9 Revised 8/18 a. Permitted Uses and Disclosures. i. Business Associate shall use and disclose PHI only to accomplish Business Associate's obligations under the Contract. i. To the extent Business Associate carries out one or more of Covered Entity's obligations under Subpart E of 45 C.F.R.Part 164,Business Associate shall comply with any and all requirements of Subpart E that apply to Covered Entity in the performance of such obligation. ii. Business Associate may disclose PHI to carry out the legal responsibilities of Business Associate,provided,that the disclosure is Required by Law or Business Associate obtains reasonable assurances from the person to whom the information is disclosed that: A. the information will remain confidential and will be used or disclosed only as Required by Law or for the purpose for which Business Associate originally disclosed the information to that person,and; B. the person notifies Business Associate of any Breach involving PHI of which it is aware. iii. Business Associate may provide Data Aggregation services relating to the Health Care Operations of Covered Entity.Business Associate may de-identify any or all PHI created or received by Business Associate under this Agreement,provided the de- identification conforms to the requirements of the HIPAA Rules. b. Minimum Necessary.Business Associate,its Subcontractors and agents,shall access,use,and disclose only the minimum amount of PHI necessary to accomplish the objectives of the Contract,in accordance with the Minimum Necessary Requirements of the HIPAA Rules including,but not limited to,45 C.F.R.164.502(b)and 164.514(d). c. Impermissible Uses and Disclosures. i. Business Associate shall not disclose the PHI of Covered Entity to another covered entity without the written authorization of Covered Entity. ii. Business Associate shall not share,use,disclose or make available any Covered Entity PHI in any form via any medium with or to any person or entity beyond the boundaries or jurisdiction of the United States without express written authorization from Covered Entity. d. Business Associate's Subcontractors. i. Business Associate shall, in accordance with 45 C.F.R. 164.502(e)(1)(ii) and 164.308(b)(2),ensure that any Subcontractors who create,receive,maintain,or transmit PHI on behalf of Business Associate agree in writing to the same restrictions, EXHIBIT A,HIPAA BAA Page 2 of 9 Revised 8/18 conditions, and requirements that apply to Business Associate with respect to safeguarding PHI. ii. Business Associate shall provide to Covered Entity,on Covered Entity's request,a list of Subcontractors who have entered into any such agreement with Business Associate. iii. Business Associate shall provide to Covered Entity,on Covered Entity's request, copies of any such agreements Business Associate has entered into with Subcontractors. e. Access to System.If Business Associate needs access to a Covered Entity Information Technology system to comply with its obligations under the Contract or this Agreement, Business Associate shall request,review,and comply with any and all policies applicable to Covered Entity regarding such system including,but not limited to,any policies promulgated by the Office of Information Technology and available at http://oit.state.co.us/about/policies. f. Access to PHI.Business Associate shall,within ten days of receiving a written request from Covered Entity,make available PHI in a Designated Record Set to Covered Entity as necessary to satisfy Covered Entity's obligations under 45 C.F.R.164.524. g. Amendment of PHI. i. Business Associate shall within ten days of receiving a written request from Covered Entity make any amendment to PHI in a Designated Record Set as directed by or agreed to by Covered Entity pursuant to 45 C.F.R. 164.526,or take other measures as necessary to satisfy Covered Entity's obligations under 45 C.F.R.164.526. ii. Business Associate shall promptly forward to Covered Entity any request for amendment of PHI that Business Associate receives directly from an Individual. h. Accounting Rights.Business Associate shall,within ten days of receiving a written request from Covered Entity,maintain and make available to Covered Entity the information necessary for Covered Entity to satisfy its obligations to provide an accounting of Disclosure under 45 C.F.R.164.528. i. Restrictions and Confidential Communications. i. Business Associate shall restrict the Use or Disclosure of an Individual's PHI within ten days of notice from Covered Entity of: A. a restriction on Use or Disclosure of PHI pursuant to 45 C.F.R.164.522;or B. a request for confidential communication of PHI pursuant to 45 C.F.R. 164.522. ii. Business Associate shall not respond directly to an Individual's requests to restrict the Use or Disclosure of PHI or to send all communication of PHI to an alternate address. EXHIBIT A,HIPAA BAA Page 3 of 9 Revised 8/18 iii. Business Associate shall refer such requests to Covered Entity so that Covered Entity can coordinate and prepare a timely response to the requesting Individual and provide direction to Business Associate. j. Governmental Access to Records. Business Associate shall make its facilities, internal practices,books,records,and other sources of information,including PHI,available to the Secretary for purposes of determining compliance with the HIPAA Rules in accordance with 45 C.F.R.160.310. k. Audit,Inspection and Enforcement. i. Business Associate shall obtain and update at least annually a written assessment performed by an independent third party reasonably acceptable to Covered Entity, which evaluates the Information Security of the applications,infrastructure,and processes that interact with the Covered Entity data Business Associate receives, manipulates, stores and distributes. Upon request by Covered Entity, Business Associate shall provide to Covered Entity the executive summary of the assessment. ii. Business Associate,upon the request of Covered Entity,shall fully cooperate with Covered Entity's efforts to audit Business Associate's compliance with applicable HIPAA Rules.If,through audit or inspection,Covered Entity determines that Business Associate's conduct would result in violation of the HIPAA Rules or is in violation of the Contract or this Agreement,Business Associate shall promptly remedy any such violation and shall certify completion of its remedy in writing to Covered Entity. 1. Appropriate Safeguards. i. Business Associate shall use appropriate safeguards and comply with Subpart C of 45 C.F.R.Part 164 with respect to electronic PHI to prevent use or disclosure of PHI other than as provided in this Agreement. ii. Business Associate shall safeguard the PHI from tampering and unauthorized disclosures. iii. Business Associate shall maintain the confidentiality of passwords and other data required for accessing this information. iv. Business Associate shall extend protection beyond the initial information obtained from Covered Entity to any databases or collections of PHI containing information derived from the PHI.The provisions of this section shall be in force unless PHI is de- identified in conformance to the requirements of the HIPAA Rules. m. Safeguard During Transmission. i. Business Associate shall use reasonable and appropriate safeguards including,without limitation,Information Security measures to ensure that all transmissions of PHI are authorized and to prevent use or disclosure of PHI other than as provided for by this Agreement. EXHIBIT A,HIPAA BAA Page 4 of 9 Revised 8/18 ii. Business Associate shall not transmit PHI over the internet or any other insecure or open communication channel unless the PHI is encrypted or otherwise safeguarded with a FIPS-compliant encryption algorithm. n. Reporting of Improper Use or Disclosure and Notification of Breach. i. Business Associate shall,as soon as reasonably possible,but immediately after discovery of a Breach,notify Covered Entity of any use or disclosure of PHI not provided for by this Agreement,including a Breach of Unsecured Protected Health Information as such notice is required by 45 C.F.R.164.410 or a breach for which notice is required under§24-73-103,C.R.S. ii. Such notice shall include the identification of each Individual whose Unsecured Protected Health Information has been, or is reasonably believed by Business Associate to have been,accessed,acquired,or disclosed during such Breach. iii. Business Associate shall,as soon as reasonably possible,but immediately after discovery of any Security Incident that does not constitute a Breach,notify Covered Entity of such incident. iv. Business Associate shall have the burden of demonstrating that all notifications were made as required,including evidence demonstrating the necessity of any delay. o. Business Associate's Insurance and Notification Costs. i. Business Associate shall bear all costs of a Breach response including,without limitation,notifications,and shall maintain insurance to cover: A. loss of PHI data; B. Breach notification requirements specified in HIPAA Rules and in§24-73- 103,C.R.S.;and C. claims based upon alleged violations of privacy rights through improper use or disclosure of PHI. ii. All such policies shall meet or exceed the minimum insurance requirements of the Contract or otherwise as may be approved by Covered Entity(e.g.,occurrence basis, combined single dollar limits,annual aggregate dollar limits,additional insured status, and notice of cancellation). iii. Business Associate shall provide Covered Entity a point of contact who possesses relevant Information Security knowledge and is accessible 24 hours per day,7 days per week to assist with incident handling. iv. Business Associate,to the extent practicable,shall mitigate any harmful effect known to Business Associate of a Use or Disclosure of PHI by Business Associate in violation of this Agreement. EXHIBIT A,HIPAA BAA Page 5 of 9 Revised 8/18 p. Subcontractors and Breaches. i. Business Associate shall enter into a written agreement with each of its Subcontractors and agents,who create,receive,maintain,or transmit PHI on behalf of Business Associate.The agreements shall require such Subcontractors and agents to report to Business Associate any use or disclosure of PHI not provided for by this Agreement, including Security Incidents and Breaches of Unsecured Protected Health Information, on the first day such Subcontractor or agent knows or should have known of the Breach as required by 45 C.F.R.164.410. ii. Business Associate shall notify Covered Entity of any such report and shall provide copies of any such agreements to Covered Entity on request. q. Data Ownership. i. Business Associate acknowledges that Business Associate has no ownership rights with respect to the PHI. ii. Upon request by Covered Entity,Business Associate immediately shall provide Covered Entity with any keys to decrypt information that the Business Association has encrypted and maintains in encrypted form,or shall provide such information in unencrypted usable form. r. Retention of PHI.Except upon termination of this Agreement as provided in Section 5 below, Business Associate and its Subcontractors or agents shall retain all PHI throughout the term of this Agreement,and shall continue to maintain the accounting of disclosures required under Section 3.h above,for a period of six years. 4.OBLIGATIONS OF COVERED ENTITY b. Safeguards During Transmission.Covered Entity shall be responsible for using appropriate safeguards including encryption of PHI,to maintain and ensure the confidentiality,integrity, and security of PHI transmitted pursuant to this Agreement,in accordance with the standards and requirements of the HIPAA Rules. c. Notice of Changes. i. Covered Entity maintains a copy of its Notice of Privacy Practices on its website. Covered Entity shall provide Business Associate with any changes in,or revocation of, permission to use or disclose PHI,to the extent that it may affect Business Associate's permitted or required uses or disclosures. ii. Covered Entity shall notify Business Associate of any restriction on the use or disclosure of PHI to which Covered Entity has agreed in accordance with 45 C.F.R.164.522,to the extent that it may affect Business Associate's permitted use or disclosure of PHI. EXHIBIT A,HIPAA BAA Page 6 of 9 Revised 8/18 5.TERMINATION d. Breach. i. In addition to any Contract provision regarding remedies for breach,Covered Entity shall have the right,in the event of a breach by Business Associate of any provision of this Agreement,to terminate immediately the Contract,or this Agreement,or both. ii. Subject to any directions from Covered Entity,upon termination of the Contract,this Agreement,or both,Business Associate shall take timely,reasonable,and necessary action to protect and preserve property in the possession of Business Associate in which Covered Entity has an interest. b. Effect of Termination. i. Upon termination of this Agreement for any reason,Business Associate,at the option of Covered Entity,shall return or destroy all PHI that Business Associate,its agents, or its Subcontractors maintain in any form,and shall not retain any copies of such PHI. ii. If Covered Entity directs Business Associate to destroy the PHI,Business Associate shall certify in writing to Covered Entity that such PHI has been destroyed. iii. If Business Associate believes that returning or destroying the PHI is not feasible, Business Associate shall promptly provide Covered Entity with notice of the conditions making return or destruction infeasible.Business Associate shall continue to extend the protections of Section 3 of this Agreement to such PHI,and shall limit further use of such PHI to those purposes that make the return or destruction of such PHI infeasible. 6.INJUNCTIVE RELIEF Covered Entity and Business Associate agree that irreparable damage would occur in the event Business Associate or any of its Subcontractors or agents use or disclosure of PHI in violation of this Agreement,the HIPAA Rules or any applicable law. Covered Entity and Business Associate further agree that money damages would not provide an adequate remedy for such Breach.Accordingly,Covered Entity and Business Associate agree that Covered Entity shall be entitled to injunctive relief,specific performance, and other equitable relief to prevent or restrain any Breach or threatened Breach of and to enforce specifically the terms and provisions of this Agreement. 7.LIMITATION OF LIABILITY Any provision in the Contract limiting Contractor's liability shall not apply to Business Associate's liability under this Agreement,which shall not be limited. 8.DISCLAIMER EXHIBIT A,HIPAA BAA Page 7 of 9 Revised 8/18 Covered Entity makes no warranty or representation that compliance by Business Associate with this Agreement or the HIPAA Rules will be adequate or satisfactory for Business Associate's own purposes. Business Associate is solely responsible for all decisions made and actions taken by Business Associate regarding the safeguarding of PHI. 9.CERTIFICATION Covered Entity has a legal obligation under HIPAA Rules to certify as to Business Associate's Information Security practices.Covered Entity or its authorized agent or contractor shall have the right to examine Business Associate's facilities,systems,procedures,and records,at Covered Entity's expense,if Covered Entity determines that examination is necessary to certify that Business Associate's Information Security safeguards comply with the HIPAA Rules or this Agreement. 10.AMENDMENT e. Amendment to Comply with Law.The Parties acknowledge that state and federal laws and regulations relating to data security and privacy are rapidly evolving and that amendment of this Agreement may be required to provide procedures to ensure compliance with such developments. i. In the event of any change to state or federal laws and regulations relating to data security and privacy affecting this Agreement,the Parties shall take such action as is necessary to implement the changes to the standards and requirements of HIPAA,the HIPAA Rules and other applicable rules relating to the confidentiality, integrity,availability and security of PHI with respect to this Agreement. ii. Business Associate shall provide to Covered Entity written assurance satisfactory to Covered Entity that Business Associate shall adequately safeguard all PHI,and obtain written assurance satisfactory to Covered Entity from Business Associate's Subcontractors and agents that they shall adequately safeguard all PHI. iii. Upon the request of either Party,the other Party promptly shall negotiate in good faith the terms of an amendment to the Contract embodying written assurances consistent with the standards and requirements of HIPAA,the HIPAA Rules,or other applicable rules. iv. Covered Entity may terminate this Agreement upon 30 days'prior written notice in the event that: A. Business Associate does not promptly enter into negotiations to amend the Contract and this Agreement when requested by Covered Entity pursuant to this Section;or B. Business Associate does not enter into an amendment to the Contract and this Agreement,which provides assurances regarding the safeguarding of PHI EXHIBIT A,HIPAA BAA Page 8 of 9 Revised 8/18 sufficient,in Covered Entity's sole discretion,to satisfy the standards and requirements of the HIPAA,the HIPAA Rules and applicable law. b. Amendment of Appendix.The Appendix to this Agreement may be modified or amended by the mutual written agreement of the Parties,without amendment of this Agreement.Any modified or amended Appendix agreed to in writing by the Parties shall supersede and replace any prior version of the Appendix. 11.ASSISTANCE IN LITIGATION OR ADMINISTRATIVE PROCEEDINGS Covered Entity shall provide written notice to Business Associate if litigation or administrative proceeding is commenced against Covered Entity,its directors,officers,or employees,based on a claimed violation by Business Associate of HIPAA,the HIPAA Rules or other laws relating to security and privacy or PHI. Upon receipt of such notice and to the extent requested by Covered Entity,Business Associate shall,and shall cause its employees,Subcontractors,or agents assisting Business Associate in the performance of its obligations under the Contract to,assist Covered Entity in the defense of such litigation or proceedings. Business Associate shall,and shall cause its employees,Subcontractor's and agents to,provide assistance, to Covered Entity,which may include testifying as a witness at such proceedings.Business Associate or any of its employees,Subcontractors or agents shall not be required to provide such assistance if Business Associate is a named adverse party. 12.INTERPRETATION AND ORDER OF PRECEDENCE Any ambiguity in this Agreement shall be resolved in favor of a meaning that complies and is consistent with the HIPAA Rules.In the event of an inconsistency between the Contract and this Agreement,this Agreement shall control.This Agreement supersedes and replaces any previous,separately executed HIPAA business associate agreement between the Parties. 13.SURVIVAL Provisions of this Agreement requiring continued performance,compliance,or effect after termination shall survive termination of this contract or this agreement and shall be enforceable by Covered Entity EXHIBIT A,HIPAA BAA Page 9 of 9 Revised 8/18 EXHIBIT B,STATEMENT OF WORK 1. PURPOSE OF DATA TRANSFER 1.1. The Department is providing permission for data sharing between the Contractor and outgoing agency contracted with the Department to provide Case Management Agency(CMA)activities under this Agreement so that Contractor may complete the following in relation to the transition of members to the Contractor under its amended contract: 1.1.1. Early communication so that members know who to contact and who their case managers will be prior to March 1,2024. 1.1.1.1. Informing members of upcoming changes is a priority;members receiving information prior to March 1 is crucial for continuity of care. 1.1.1.2. The Department will not be able to make the Care and Case Management(CCM)System and Bridge data available until March 1. 1.1.2. Having the internal database system operating early to ensure readiness on March 1 for members who rely on services and supports. 1.1.3. Prevent delays in providing services to members. 1.1.4. Obtain outgoing Single Entry Point(SEP)and/or Community Centered Board(CCB) member information necessary to perform Contractor's work as a Case Management Agency (CMA). 1.1.4.1. Service Provider names and information are not required to be entered Department systems. To ensure continuity of care,the outgoing agency's internal database will be the resource to confirm correct service provider information. 1.1.5. Obtaining necessary member eligibility information to be able to perform contract compliance tasks such as DSS 1 s,schedules of contacts and who has an eligibility break live in the internal database system.These are report functions versus looking at each case file in the BUS or Bridge and will help predict work starting March 1. 1.1.6. Obtaining data necessary to perform Release(s)Of Information(ROIs)in time to load that information into the internal database. 1.1.6.1. The incoming CMA will operate under the"Weld County,Release of Information"from the prior contractor for a set period of time.This set period of time will be organized through the privacy officer at the Department. 2. DATA EXTRACTS INCLUDED IN THIS AGREEMENT: 2.1. Activities Extract 2.2. Alerts Extract 2.3. Care Givers Extract 2.4. Members Demographics Extract 2.5. Notes Extract 2.6. Program Extract Exhibit B,SOW Page 1 of 2 2.7. Service Plan Extract 2.8. Data-Document Control File 2.9. Any other extracts or files approved by the Department in writing 2.10. DD Delay Determination files 2.11. Member files and related data for State General Fund Programs 2.12. Any other data necessary to facilitate this transition Exhibit B,SOW Page 2 of 2 .ntract . Entity Information Entity Name* Entity ID* O New Entity? DEPARTMENT OF HEALTH CARE @00023890 POLICIES&FINANCIAL Contract Name* Contract ID Parent Contract ID DEPARTMENT OF HEALTH CARE POLICY AND 7636 FINANCING(AGREEMENT FOR TRANSITION DATA * Requires Board Approval SHARING) Contract Lead WLUNA YES Contract Status Contract Lead Email Department Project# CTB REVIEW wluna@weldgov.com;cob bxxlk@weldgov.com Contract Description* HCPF-WELD OHS(AGRMT.FOR TRANSITION DATA SHARING). PURPOSE:TO PERMIT THE TRANSFER OF DATA FROM THE EXISTING CASE MGMT AGENCY(CMA)DESIGNATED TO SERVE WELD TO WELD DHS WHO WILL ASSUME THE CMA FUNCTIONS ON 03/01/24.TERM:EXECUTION-PERP.DUE 1 Contract Description 2 PA ROUTING THROUGH NORMAL PROCESS. ETA TO CTB 11/22/23. Contract Type* Department Requested BOCC Agenda Due Date AGREEMENT HUMAN SERVICES Date* 11/18/2023 11/22/2023 Amount* Department Email 30.00 CM- Will a work session with BOCC be required?* HumanServices@weldgov. NO Renewable* com NO Does Contract require Purchasing Dept.to be Department Head Email included? Automatic Renewal CM-HumanServices- DeptHead@weldgov.com Grant County Attorney GENERAL COUNTY IGA ATTORNEY EMAIL County Attorney Email CM- COU NTYATTO RN EY@WEL DGOV.COM If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Note:the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Review Date* Renewal Date 10/01/2024 Termination Notice Period Committed Delivery Date Expiration Date* 01/01/2025 Contact Information Contact Info Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Purchasing Approver Purchasing Approved Date Approval Process Department Head Finance Approver Legal Counsel JAMIE ULRICH CHRIS D'OVIDIO BYRON HOWELL DH Approved Date Finance Approved Date Legal Counsel Approved Date 11/21/2023 11/22/2023 11/22/2023 Final Approval BOCC Approved Tyler Ref# AG 112723 BOCC Signed Date Originator WLUNA BOCC Agenda Date 11/27/2023 Houstan Aragon From: noreply@weldgov.com Sent: Wednesday,October 2,2024 11:15 AM To: CM-ClerktoBoard;Sara Adams;Lesley Cobb;CM-HumanServices-DeptHead Subject: Fast Tracked Contract ID(8760) Contract#8760 has been Fast Tracked to CM-Contract Maintenance. You will be notified in the future based on the Contract information below: Entity Name:DEPARTMENT OF HEALTH CARE POLICIES&FINANCIAL Contract Name:DEPARTMENT OF HEALTH CARE POLICY AND FINANCING(AGREEMENT FOR TRANSITION DATA SHARING)Contract Amount:$0.00 Contract ID:8760 Contract Lead:SADAMS Department:HUMAN SERVICES Review Date:8/1/2025 (ii\rrVCkC1 \t g-1 (2° Renewable Contract:YES Renew Date:10/1/2025 1 Expiration Date: Rks)-biack-Re i\-)If I f Tyler Ref#: Thank-you Z0Z3 k\zuet5 Houstan Aragon From: Sara Adams Sent: Wednesday,October 2,2024 11:16 AM To: CTB Cc: HS-Contract Management Subject: FAST TRACK:HCS CMA Agreement for Transition Data Sharing Attachments: CMA Transition Data MOU Weld(full)(e).pdf Good morning CTB, FAST TRACK ITEM: Attached please find the Agreement for Transition Data Sharing with the State of Colorado,Tyler ID# 2023-3424,and originally CMS#7636.The agreement is in perpetuity and there are no changes to the agreement at this point and it is being Fast Track in CMS for tracking purposes only(CMS#8760). Thank you, Sara Sara Adams Contract Administrative Coordinator Weld County Dept.of Human Services 315 N.11th Avenue,Building A PO Box A Greeley,CO 80632 (970)400-6603 sadams#hweld.gov m-- Confidentiality Notice:This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged,confidential or otherwise protected from disclosure.If you have received this communication in error,please immediately notify sender by return e-mail and destroy the communication.Any disclosure, copying,distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 1 Houstan Aragon From: noreply@weldgov.com Sent: Thursday,August 14,2025 12:26 PM To: CM-ClerktoBoard;Sara Adams;Lesley Cobb;CM-HumanServices-DeptHead Subject: Fast Tracked Contract ID(9829) Contract#9829 has been Fast Tracked to CM-Contract Maintenance. You will be notified in the future based on the Contract information below: Entity Name:DEPARTMENT OF HEALTH CARE POLICIES&FINANCIAL Contract Name:DEPARTMENT OF HEALTH CARE POLICY AND FINANCING(AGREEMENT FOR TRANSITION DATA SHARING)Contract Amount:$0.00 Contract ID:9829 Contract Lead:SADAMS Department:HUMAN SERVICES eOnti(aCAINOS Review Date:8/1/2026 Renewable Contract:YES �1Ze\A-eloued Renew Date:10/1/2026 FA- Tva Expiration Date: Tyler Ref#: Thank-you 1 Zoz3-3L1-2� Houstan Aragon From: Sara Adams Sent: Thursday,August 14,2025 12:25 PM To: CTB Cc: HS-Contract Management Subject: FAST TRACK-Colorado Department of Health Care Policy&Finance(CMS#9829) Attachments: CMA Transition Data MOU Weld(e).pdf Good afternoon CTB, FAST TRACK ITEM: Attached please find the Colorado Department of Health Care Policy&Finance Case Management Agency Agreement for Transition Data Sharing(Tyler ID#2023-3424).This agreement is in perpetuity and is reviewed on a yearly basis.No changes are required.This will be a Fast Track item in CMS for tracking purposes only(CMS#9829). Thank you, Sara WEL4 ca, Sara Adams Contract Administrative Coordinator Department of Human Services Desk:970-400-6603 P.O.Box A,315 N.11th Ave.,Greeley,CO 80632 013000 Join Our Team Important:This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged,confidential or otherwise protected from disclosure.If you have received this communication in error,please immediately notify sender by return e-mail and destroy the communication.Any disclosure,copying,distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 1 Hello