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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.

HITRUST accommodates organizations that cannot upload sensitive evidence to the MyCSF portal due to corporate or regulatory policies. The mechanism for this is QA Tasks. Through QA Tasks, HITRUST QA reviewers can request clarifications, additional evidence, or narrative responses, which can be provided without uploading sensitive raw data. This method allows entities to describe processes, reference documents, or provide redacted information while maintaining compliance with their internal data-handling policies. Options such as “Live QA” or “Onsite visits” are not part of the standard assurance program workflow. Escalated QA refers to dispute resolution or additional reviews and does not address evidence handling. QA Tasks are the standard method HITRUST uses to facilitate communication and evidence review without violating data-handling restrictions.

The A1 Security Assessment factor is an optional module that introduces requirements for evaluating the security and governance of AI-based systems. These requirements are mapped into HITRUST CSF across domains like risk management, monitoring, and governance. Importantly, the A1 factor is not restricted solely to r2 assessments. While r2 provides the most comprehensive assurance model, A1 can also be added to other eligible assessment types such as i1 when the scope involves AI risks. The factor is treated like any other regulatory or organizational factor in MyCSF—its selection generates additional tailored requirement statements. Therefore, the claim that A1 can only be added to r2 is inaccurate. The correct understanding is that A1 can apply to multiple assessment types, depending on scoping decisions.

The Implemented maturity level measures whether a control is operating effectively in practice. Scoring is based on the proportion of evaluative elements in place. In this scenario, two of the four required elements are implemented. This equates to 50% compliance, so the correct score is 50. For example, if a firewall control requires four items (documented rules, change management process, monitoring, and testing), and only two are in place, the organization is halfway compliant. This method ensures that partial implementation is acknowledged but also highlights gaps needing remediation. Scores of 0, 25, or 75 would not accurately reflect two of four elements, making 50 the correct value.