CSF Practitioner CCSFP Dumps PDF

When a requirement statement is marked as Not Applicable (N/A) in MyCSF, HITRUST requires the organization to provide a justification. This justification must be entered into the Subscriber Comments field. The rationale explains why the requirement does not apply to the entity’s environment, systems, or data. For example, if a requirement relates to payment card data but the organization does not process credit cards, the Subscriber Comments field should document that no PCI-DSS scope exists. HITRUST QA reviews these justifications to ensure N/As are applied appropriately. Failure to document rationale can result in QA findings or required CAPs. This requirement preserves transparency and prevents misuse of the N/A designation to exclude applicable controls.

Regulatory factors are a mandatory part of the scoping process in r2 assessments. These factors represent applicable laws, regulations, or frameworks that impact the organization’s operations. Examples include HIPAA, PCI-DSS, GDPR, state data protection laws, CMS Minimum Security Requirements, and FedRAMP. When a regulatory factor is selected in MyCSF, additional requirement statements are automatically generated within the assessment object. These statements tailor the control environment to match external obligations, ensuring alignment with compliance expectations.

For example, selecting PCI-DSS will add specific controls related to cardholder data protection. Selecting HIPAA will add requirements for safeguarding protected health information. Without selecting these factors, the assessment would not provide complete coverage, and certification would lack credibility. This dynamic tailoring is one of the strengths of HITRUST’s risk-based approach, ensuring each entity’s assessment is relevant to its regulatory landscape.

When a relying party requests an Insights Report covering AI risks, the appropriate selection in MyCSF is the A1 Risk Assessment. The A1 Security Assessment adds AI-related requirements to evaluate technical and governance safeguards for artificial intelligence systems. However, the A1 Risk Assessment is specifically designed to generate Insights Reports that highlight AI-related risk exposures, model governance practices, and data usage concerns. HITRUST distinguishes between these two factors to ensure organizations scope their assessment appropriately. By selecting the A1 Risk Assessment, the assessment object will include additional requirement statements aligned with AI risks, enabling the Insights Report output. This ensures stakeholders receive the necessary assurance information about the organization’s risk environment in relation to AI.

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.