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Home > Developer Questionnaire Developer Resources Developer Application Form Developer Portal Developer Questionnaire Step 1 of 4 25% This field is hidden when viewing the formPrevious EntryConsent Management, Use and DisclosureYour application is compliant with the FTC Principle of Collection Limitation of personal data(Required) Yes No Your Application is compliant with the FTC User Limitation which describes data should be used only for the purposes specified at the time of collection(Required) Yes No Your application provides members the ability to request the secure and complete disposal of their identifiable health data(Required) Yes No Your application provides each individual a right to see any data bout him or herself. Your application also allows them to annotate any data that is not timely, accurate, relevant, or complete(Required) Yes No Security and Incident ManagementOn behalf of Central California Alliance for Health's members, your application request a copy of their health data (ePHI) from the HIPAA designated record set, maintained by a health care provider, health plan or health information exchange as per below mentioned methods:By relying on a health care provider or health plan portal's 'Identity Credential' using SMART or, by accepting a 'Digital Identity Credential' for the member that is at least NIST Identity Assurance level2 (IAL2) and Authenticator Assurance level2 (AAL2)(Required) Yes No By clearly indicating the destination for sending the personal data including ePHI(Required) Yes No Your application protects personal data through mechanisms including, at minimum:(Required) Secure storage Encryption of digital records, both in transit and at rest Data use Agreements and Contractual obligations Accountability measures Yes No Your application practices a defined policy to handle dormant accounts(Required) Yes No Your application adopts internal policies and secure contractual commitments with third parties to prohibit the re-identification of de-identified or anonymized data(Required) Yes No Your application provides a mechanism to verify that ePHI/personal data has not been altered, modified, or destroyed in an unauthorized annotation, or disclosure manner(Required) Yes No You agree to comply with applicable breach notification laws and provide meaningful remedies to address security breaches, privacy or other violations incurred because of misuse of the member's health information(Required) Yes No Your application has proper authentication and authorization controls, as per best practices(Required) Yes No Application and Data SecurityYour application mitigates the OWASP top 10 Application Security Risks(Required) Yes No Your application has a mechanism to verify that ePHI has not been altered, modified, or destroyed in an unauthorized manner(Required) Yes No Your application's error handling process ensures that no sensitive or personal information is disclosed(Required) Yes No Your application does not use production data in the test environment for testing purposes(Required) Yes No Your application ensures data backup and data recovery best practices(Required) Yes No Your application generates system and application level audit logs as per HIPAA requirements(Required) Yes No Your application audit logs are secured and reviewed periodically(Required) Yes No Your application mitigates the OWASP Mobile Top 10 Security Risks(Required) Yes No Your application follows industry best practices for data encryption(Required) Yes No Does your application require a usage fee either from members or plans(Required) Yes No Is your application hosted and developed outside of the United States(Required) Yes No Information Attestation(Required) I hereby confirm and owe that the information provided herein, is accurate, correct and complete. I am attesting on behalf of my organization in capacity of third-party or vendor who I represent and I am associated with. I stand accountable for the information and the documents submitted with regards to their authenticity and validity. The Alliance shall not be responsible or accountable for any of the information provided herein. I understand and agree that a false statement may disqualify me for the opportunity and the benefits presented herein. CAPTCHANameThis field is for validation purposes and should be left unchanged. Contact us | Toll free: 800-700-3874