When an implementation gap is remediated, what is the minimum number of days the control must operate before retesting? [0130]
For Implemented domain remediations, HITRUST requires 60 days of operation before retesting.
This ensures the control is not only deployed, but also functioning effectively over time.
A 30-day threshold applies to Policy/Process, while Implemented requires longer to validate consistent application.
Extract Reference (HITRUST CSF Scoring & CAP Guidance [0130]):
Implementation gaps must show at least 60 days of operating effectiveness before retesting can validate remediation.
An Interim Assessment must be completed in how many months after r2 certification is achieved? [0023]
For an r2 Certification:
Certification is valid for two years, but an Interim Assessment must be performed at the 12-month mark to maintain certification status.
This ensures continuous compliance, validation of CAP progress, and confirmation of no significant scope changes.
Extract Reference (HITRUST Assurance Program, CCSFP Guide [0023]):
Interim Assessments are required 12 months after r2 certification to maintain certification validity for the second year.
A validated assessment is only available to organizations after performing a readiness assessment. [0020]
A validated assessment does not require a readiness assessment as a prerequisite.
A Readiness Assessment is optional and intended to help organizations self-identify gaps before a validated assessment.
A Validated Assessment involves an independent HITRUST Authorized External Assessor validating evidence and submitting results to HITRUST for quality assurance and potential certification.
Many organizations choose to do a readiness assessment first, but it is not mandatory.
Extract Reference (CCSFP Study Guide & HITRUST CSF Assurance Program [0020]):
Organizations may perform a readiness assessment prior to a validated assessment to identify gaps, but it is not required; validated assessments can be performed independently.
When performing r2 assessments, any added compliance factors should be considered before marking a requirement statement "N/A".
Marking a requirement statement ''Not Applicable (N/A)'' requires careful justification. In r2 assessments, compliance factors such as HIPAA, PCI-DSS, GDPR, or state-specific laws may trigger requirements that would not otherwise apply. Therefore, an assessor must verify that all compliance factors have been considered before permitting an N/A designation. For example, a requirement related to cardholder data might seem irrelevant unless PCI-DSS was selected as a compliance factor; in that case, it becomes mandatory. HITRUST QA scrutinizes N/A markings to ensure they are not misused to exclude applicable requirements. Incorrect use of N/A may result in CAPs or QA rejection. Thus, compliance factors must always be reviewed first to confirm whether the requirement is truly outside scope.
Upon submission of an assessment object by the assessor, how many days does HITRUST take to either accept or reject the assessment?
When an assessor submits a validated assessment object to HITRUST, the QA intake process begins. HITRUST typically takes 3--5 business days to complete an initial review and decide whether to accept the submission into the QA pipeline or reject it due to deficiencies (such as missing evidence, incomplete CAPs, or improper scoping). Acceptance at this stage does not mean certification---it simply indicates that the assessment meets the minimum requirements to enter QA. If rejected, the assessor must correct the issues before resubmission. The 3--5 day timeframe ensures efficiency while maintaining rigor in intake quality checks.
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