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2003-050
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2003-050
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Last modified
9/27/2016 2:22:17 PM
Creation date
9/30/2015 6:22:38 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
03/04/2003
Control Number
2003-050
Agenda Item Number
7.U.
Entity Name
Agency for Health Care Administration
Subject
Medicaid Program data sharing agreement
Archived Roll/Disk#
3160
Supplemental fields
SmeadsoftID
3172
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agreement, requests for access to the data, requests for accounting of disclosures of the <br /> data, disposition of the data, and termination of this agreement, shall be addressed to the <br /> point of contact . <br /> 5 . Custodial Responsibility . The County names the following individual custodian of the <br /> data on behalf of the County : <br /> yernita Shephard <br /> Name of custodian <br /> Indian River County 1840 25th Street <br /> Street Address . <br /> Vero Beach , FL 32960 - 3365 <br /> City/ State/ Zip code <br /> 772 - 567 - 8000 Ext . 1423 - <br /> Phone number <br /> The custodian shall be responsible for the observance of all conditions of use and for the <br /> establishment and maintenance of safeguards as specified in this agreement to prevent <br /> unauthorized use . The County shall notify the Agency in writing within fifteen ( 15 ) days <br /> of any change of custodianship . Notification of change of custodianship shall be <br /> delivered by certified mail , return receipt requested , or in person with proof of delivery . <br /> 6 . Permissible Uses and Disclosures of Agency Data . The County shall not use or further <br /> disclose the data specified in this agreement except as permitted by this agreement or as <br /> required by federal law . The County shall establish appropriate administrative , technical , <br /> and physical safeguards to protect the confidentiality of and to prevent unauthorized use <br /> or access to the data specified in this agreement. <br /> The County shall not release or allow the release of the data specified in this agreement to <br /> any persons or entities other than as permitted by this agreement . <br /> The County shall restrict disclosure of the data specified in this agreement to the <br /> minimum number of individuals who require the information in order to perform the <br /> functions of this agreement . The County shall instruct individuals to whom the data is <br /> disclosed of all obligations under this agreement and shall require the individuals to <br /> maintain those obligations . <br /> The County shall secure the data specified in this agreement when the data is not under <br /> the direct and immediate control of an authorized individual performing the functions of <br /> this agreement . The County shall make a good faith effort to identify any use or <br /> disclosure of the data not provided for by this agreement . The County shall notify the <br /> Agency by certified mail , return receipt requested, or in person with proof of delivery <br /> within seventy-two (72) hours of discovery of any use or disclosure of the data not <br /> provided for by this agreement of which the County is aware . <br /> 2 <br />
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