CCSFP Premium Exam Questions

HITRUST applies the CAP requirement at theControl Reference level. A CAP is required when the Control Reference score falls at70 or belowand Implementation maturity is not at 100%. In this case, the aggregate score is72.5, which is above the certification threshold of 71. Even though there are gaps within individual requirement statements, the Control Reference as a whole is performing above the threshold, meaning a CAP is not mandatory. However, the gaps must still be documented, and remediation may be encouraged, but they will not block certification. This policy ensures that CAPs are only required where deficiencies present material risk to certification.

HITRUST certification for anr2 assessmentrequires that all19 domainsachieve a minimumaverage score of 71 or higher. Certification is not based on every individual requirement statement being perfect, but on whether eachdomain scoremeets the threshold.

Looking at theData Protection & Privacy domainin the table:

Current scores: 42 (Privacy Officer), 63 (Formal Privacy Program), 68 (Senior Management), and 70 (Requests for covered…).

These average to60.75, which is below the 71 threshold.

If the “Privacy Officer” requirement score increases from42 → 50, the recalculated domain average becomes:

(50 + 63 + 68 + 70) ÷ 4 =62.75.

Now consider the rest of the chart:Information Programscores are in the 70s and 80s,Endpoint Protectionis 62 and 79,Wireless Protectionis 84. With the Privacy Officer improved to 50, the Data Protection & Privacy domain average rises closer to the certification threshold. Since HITRUST considers domain averages, not just one control, this improvement pushes the domain to an acceptable score when balanced against all other domains.

Thus, yes — the organization wouldachieve certificationwith this change, making the correct answerTrue.

Organizations that process sensitive information such as personally identifiable information (PII), protected health information (PHI), or payment card data must address numerous security and privacy challenges. These include regulatory compliance (e.g., HIPAA, GDPR, PCI-DSS), operational risks such as insider threats, and technical challenges like securing cloud environments, encryption, and access control. HITRUST recognizes these challenges as part of its rationale for developing the CSF. The framework consolidates multiple standards and regulatory requirements into a single certifiable model, helping organizations manage these complex obligations in a structured way. The assurance program then validates that organizations are applying these controls effectively. Because sensitive data is a primary target for cyber threats and regulatory scrutiny, organizations must account for layered protections, making the statementTrue.

When a Requirement Statement’s responsibility is shared between a client and service providers (e.g., cloud vendors or managed security providers), HITRUST requires ablended scoring approach. Assessors must evaluate all parties’ contributions and assign a composite score that reflects the total control environment. This prevents organizations from over-relying on inherited provider scores without demonstrating their own responsibilities (e.g., configuration, monitoring). It also prevents dismissing requirements as N/A since partial responsibility still exists. By combining the provider’s validated assessment results with the client’s implementation evidence, HITRUST ensures a complete and accurate reflection of risk. Sole reliance on provider scores would overlook gaps in client-side processes.