Great! Here’s a Business Associate Agreement (BAA) Template tailored for your role as an independent contractor providing sleep education, PAP nap sessions, and sleep study scoring. This version is HIPAA-compliant and covers the essentials while keeping it readable and adaptable.

Business Associate Agreement (BAA)

This Agreement is entered into by and between:

Covered Entity: [Insert Provider or Sleep Center Name]
Business Associate: [Your Full Name / Business Name]
Effective Date: [Insert Date]

1. Purpose

This Agreement is entered into to ensure compliance with the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), including the Privacy Rule, Security Rule, and the Health Information Technology for Economic and Clinical Health Act (“HITECH”).

This BAA governs the terms under which Business Associate may access, use, or disclose Protected Health Information (“PHI”) while performing services on behalf of the Covered Entity.

2. Services Provided

Business Associate provides the following services as an independent contractor:

• Sleep education (CPT 98960, 98962)

• PAP nap support (CPT 95807-52)

• Sleep study scoring (CPT 94799)

3. Definitions

• Protected Health Information (PHI): Any individually identifiable health information maintained or transmitted in any form.

• Business Associate: The individual or entity providing services on behalf of the Covered Entity and receiving PHI in the process.

• Covered Entity: The healthcare provider or organization who maintains the patient relationship and is responsible for PHI.

4. Obligations of Business Associate

Business Associate agrees to:

• Use or disclose PHI only as permitted by this Agreement or required by law.

• Use appropriate safeguards to prevent unauthorized use or disclosure of PHI.

• Report to Covered Entity any known use or disclosure of PHI not provided for by this Agreement within 5 business days.

• Ensure any subcontractors who receive PHI agree to the same restrictions and conditions.

• Make PHI available for patient access or amendment as required under HIPAA.

• Maintain documentation for disclosure accounting, if requested.

• Make practices and records available to the U.S. Department of Health & Human Services upon request.

• Return or destroy all PHI at the termination of this Agreement, if feasible.

5. Permitted Uses and Disclosures by Business Associate

Business Associate may use or disclose PHI:

• To perform the contracted services listed above

• For internal management, administrative, or legal responsibilities related to services

• As required by law

6. Term and Termination

• This Agreement begins on the Effective Date and remains in effect unless terminated by either party with 30 days written notice.

• Upon termination, Business Associate will return or destroy all PHI. If return or destruction is not feasible, Business Associate will continue to protect the PHI per the terms of this Agreement.

7. Miscellaneous

• This Agreement does not create an employer/employee relationship.

• This Agreement shall be governed by the laws of the state of [Insert State].

• Any amendments must be made in writing and signed by both parties.

Signatures

Covered Entity:
Name: _________________________
Title: _________________________
Signature: _____________________
Date: _________________________

Business Associate:
Name: _________________________
Business Name (if applicable): _______________
Signature: _____________________
Date: _________________________

Would you like this formatted as a downloadable PDF or Word doc for easier distribution? I can also customize it further with your business name, logo, or a clause about remote services.