40% OFF Sale through January 23: COVID Clinical Best Practices. Use "CLINICAL40" coupon code in your shopping cart.

As a HIPAA covered entity, behavioral health professionals have an obligation to vet their business associates. Vetting business associates ensures that the protected health information (PHI) that they create, receive, transmit, maintain, or store on behalf of the covered entity is secure.


What is a Business Associate?

A business associate is any vendor that a covered entity contracts that may come into contact with PHI over the course of work they are hired for.

A business associate for a behavioral health professional may include:

  • Electronic Medical Record (EHR) platforms
  • Teleconferencing tools (i.e. Zoom, GoToMeeting, Skype, etc.)
  • Email providers (if email is used in conjunction with PHI)
  • Cloud service providers (i.e. AWS, Microsoft Azure, etc.)
  • Medical billing services
  • Accountants

How to Vet Business Associates

The Department of Health and Human Services (HHS) requires covered entities to vet their business associates. Failure to adequately vet business associates leaves covered entities liable should their business associate experience a healthcare breach. To avoid costly HIPAA fines, covered entities must vet vendors before sharing PHI.

The best way to vet business associates, is to send them vendor questionnaires. HIPAA standards mandate that the confidentiality, integrity, and availability of PHI is maintained through the implementation of HIPAA safeguards. Vendor questionnaires measure administrative, physical, and technical safeguards against HIPAA standards.

Upon completion of a vendor questionnaire, gaps in the business associate’s safeguards are identified. Before covered entities can work with the business associate, the business associate must address their gaps with remediation efforts. If a business associate is unwilling to address gaps, the covered entity should choose another vendor to work with.

Business Associate Agreements

In addition to vetting vendors, before covered entities can share PHI with their business associates, they must have a signed business associate agreement (BAA). A BAA is a legal document that mandates the safeguards the vendor must implement. A BAA also limits the liability for both singing parties as it states that each party is responsible for maintaining their own HIPAA compliance.

HIPAA Resources

Need assistance with HIPAA compliance? Compliancy Group can help! They help you achieve HIPAA compliance with Compliance Coaches® guiding you through the entire process. Find out more about the HIPAA Seal of Compliance® and Compliancy Group. Get HIPAA compliant today!

HIPAA Webinars:


CybersecurityCyber Security: Top 5 Things You Can Do Tomorrow Morning to Protect Your Practice and Your Clients/Patients

Ransomware hackers attack smaller healthcare practices daily, creating serious data breaches and HIPAA violations. Are you and your clients/patients vulnerable, too?




Social Media and HIPAASocial Media and HIPAA Compliance: Protecting Your Practice in the Digital Age

Managing social media use and HIPAA compliance can lead to some of the most common misunderstandings faced by healthcare providers. Improperly trained employees can expose your organization to HIPAA violations and costly fines!



Disclaimer: The views and opinions expressed in the article and on this blog post are those of the authors. These do not necessarily reflect the views, opinions, and position of the Telebehavioral Health Institute (TBHI). Any content written by the authors are their opinion and are not intended to malign any organization, company or individuals.