EvidenceSheet

164.314(a)(2)(i) Business Associate Contract Required Provisions

The contract between a covered entity and a business associate must provide that the business associate will comply with the applicable Security Rule requirements, ensure subcontractors comply, report security incidents

8
artefacts
0
held by a system
2
at each review
hard
to go live
Document repository
where the evidence lives
teal = a system already holds it · olive = produced at each review

system holds itEvidence a system already holds

none for this control

periodic reviewEvidence produced at each review

  • Periodic BAA compliance reviews · Document repository
  • Records of incidents reported by BAs · Document repository

governing documentDocuments that govern the control

  • BAA template with required clauses traceable to 164.314(a)(2)(i) · Document repository
  • Incident reporting requirements and SLAs · Document repository
  • Subcontractor flow-down clause · Document repository
  • Termination for cause clause · HR system / LMS
  • BA breach notification timelines tied to 164.410 · Document repository
  • Termination events and outcomes · HR system / LMS

First move

This control is evidenced by people and documents, not systems. Put the document under version control with an owner and review date, and log each review as a record with reviewer and date. Do not try to automate it.

Common gaps auditors find

Do this for your whole sheet

Paste the rows you run your controls from and get this mapping for every control at once, with the periodic-review ones flagged and a first move per row. No account for the first run.

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164.314(a)(1) Business Associate Contracts or Other Arrangements (Standard) · 164.314(a)(2)(ii) Other Arrangements (Government)