Are Accreditation Organizations Business Associates of the Covered Entities They Accredit?

Modified on Mon, 11 Dec 2023 at 02:37 PM

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Per HHS, yes. The HIPAA Privacy Rule explicitly defines organizations that accredit covered entities as business associates. See the definition of “business associate” at 45 CFR 160.103.

Like other business associates, accreditation organizations provide a service to the covered entity which requires the sharing of protected health information. Accreditation organizations may include those listed here, among others. 

As business associates of covered entities, accreditation organizations must generally enter business associate agreements with covered entities with whom they share PHI. As an alternative to the business associate agreement or contract, covered entities may disclose a limited data set of protected health information, not including direct identifiers, to an accreditation organization, subject to a data use agreement. See 45 CFR 164.514(e).

If only a limited data set of protected health information is disclosed, the satisfactory assurances required of the business associate are satisfied by the data use agreement.

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