The HITRUST Certification Checklist

by SecureSlate Team in HITRUST
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Key takeaways

  • Understand the core concepts and terminology behind The HITRUST Certification Checklist.
  • Learn practical steps to apply the guidance and stay audit-ready.
  • See where SecureSlate can help centralize evidence, ownership, and ongoing compliance workflows.

The HITRUST certification checklist

HITRUST is a global leader in cybersecurity assurance. It offers a comprehensive approach to regulatory compliance and cybersecurity risk management.

Earning a HITRUST certification can help you prove your commitment to safeguarding sensitive information and build trust with customers, partners, and stakeholders.

When a customer asks “Do you have HITRUST?”

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This checklist lays out what to expect across the HITRUST validation process, who is typically involved, and what “good” looks like at each step.


Choose your assessment type (e1, i1, or r2)

HITRUST Validated Assessments typically fall into three levels. Your choice affects control depth, evidence burden, timeline, and cost.

  • e1: Essentials (baseline assurance)
  • i1: Implemented (broader validation and stronger evidence expectations)
  • r2: Risk-based (most comprehensive and tailored to risk factors)

Choosing between e1/i1/r2 like…

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If you’re unsure, align the assessment type to your customer requirements, the sensitivity of data in scope, and your risk profile.


Who’s involved (so you can plan staffing early)

Most HITRUST programs succeed when roles are explicit from day one.

  • Internal stakeholders: security, IT, engineering, product, legal, HR, and leadership
  • Program owner: a single accountable lead who drives timeline, owners, and evidence quality
  • HITRUST Validated Assessor: an approved external assessor who validates your assessment
  • HITRUST: performs QA review and issues the final certification decision
  • Platforms and tooling: systems used to map controls and organize evidence (e.g., SecureSlate)

1) Pre-work for your HITRUST certification

This phase is about alignment and ownership. It reduces rework later.

Checklist

  • Align your goals: confirm HITRUST supports your business goals and existing programs
  • Identify internal stakeholders: name champions, control owners, and a project owner
  • Educate leadership: explain the process, resourcing, timeline, and expected changes

Outputs to produce

  • A clear scope hypothesis (what you expect to be in scope)
  • A target timeline (readiness window + validation window)
  • A RACI (who owns what, and who approves)

2) Work for your HITRUST certification

This is where you build the foundation: understanding requirements, picking the right assessment, and preparing for readiness.

Core checklist

  • Understand the HITRUST CSF: review control requirements and scoring expectations
  • Identify compliance needs: map customer requirements and regulatory context
  • Select assessment type: choose e1, i1, or r2 based on risk and expectations
  • Streamline control + evidence work: use an evidence platform like SecureSlate to track gaps and keep evidence audit-ready
  • Select a Validated Assessor: engage an approved assessor to guide readiness and validation
  • Get access to MyCSF: confirm your MyCSF subscription and report credits (if required)
  • Attend HITRUST orientation: complete HITRUST’s New Customer Orientation for process clarity

Readiness assessment

Readiness is your first major checkpoint. The goal is to find gaps early and fix them with evidence in mind.

Checklist

  • Define assessment scope: systems, environments, people, vendors, and data flows
  • Set a timeline: align milestones with your assessor (and internal owners)
  • Perform an initial assessment: identify gaps and evidence requirements
  • Plan inheritance: decide where you can inherit controls internally or externally
  • Submit inheritance requests: file requests through MyCSF
  • Secure a QA date: schedule the post-submission HITRUST QA review window

What good readiness looks like

  • Scope is explicit and consistent across docs, diagrams, and evidence
  • Gaps are prioritized by risk and dependency, not “who shouts loudest”
  • Evidence is organized by control and time period, not scattered in drives and DMs

Remediation

Remediation is where most timelines slip. Treat it like a delivery plan, not a vague intention.

Checklist

  • Resolve evidence gaps: close missing or weak artifacts flagged in readiness
  • Operationalize controls: ensure controls operate continuously, not just “configured once”
  • Standardize evidence: consistent exports, ticket links, and review cadence

When the remediation plan meets reality

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Tip: define “done” as implemented + operating + evidenced, not “we set it up.”


3) The Validated Assessment

Validated assessment is the formal step where the assessor verifies implementation and evidence quality.

Validated assessment checklist

  • Provide evidence: collect and submit required artifacts to your assessor
  • Finalize inheritance: confirm inheritance plans are complete and accepted
  • Support the assessor: respond quickly to validation questions and sampling requests
  • Address pre-submission QA issues: resolve issues before the final submission

Submission and review

At this stage, your assessor inputs evidence into MyCSF and HITRUST performs QA.

Checklist

  • Submit the assessment: ensure the assessor submits in MyCSF for HITRUST review
  • Support the QA process: be available for clarifications and follow-ups

Certification

Certification is the outcome, but it’s also the start of the “keep it operating” phase.

Checklist

  • Review the certification report: validate accuracy and approve the draft report

4) Ensuring compliance over time (and beyond)

HITRUST value compounds when controls stay healthy between assessments.

Ongoing monitoring checklist

  • Monitor continuously: track control drift and evidence freshness in SecureSlate
  • Remediate gaps: close issues as they arise, not right before an audit window

Staying audit-ready (without the scramble)

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Plan for the next assessment

  • Prepare early: refresh scope, vendors, assets, and ownership before the next cycle
  • Leverage inheritance: reduce duplicated work where inheritance is appropriate
  • Advance when ready: consider moving e1 → i1 or i1 → r2 as requirements grow

The business benefits of HITRUST certification

HITRUST can unlock growth and reduce risk when your program is real and repeatable.

  • Commercial compliance: satisfy customer and contractual requirements or preferences
  • Market access: enter markets that require or prefer HITRUST-certified vendors
  • Market differentiator: demonstrate a high-assurance security posture
  • Risk mitigation: adopt proven, repeatable, and measurable controls to reduce risk
  • Value creation: strengthen trust with investors and stakeholders
  • Liability reduction: use a prescriptive framework instead of inventing your own program
  • Regulatory efficiency: reuse mapped controls across HIPAA, SOC 2, ISO 27001, GDPR, and more

Quick-start: the “do this first” summary

If you’re starting from scratch, focus on these five actions before anything else.

  1. Pick the right assessment level (e1/i1/r2) based on customers and risk.
  2. Define scope (systems, data, identities, vendors) and write it down.
  3. Assign owners (program owner + control owners) and set a cadence.
  4. Run readiness with evidence standards, then remediate to “implemented + operating + evidenced.”
  5. Keep evidence current with continuous monitoring so the next cycle is easier than the first.

Disclaimer (legal note)

SecureSlate is not a law firm, and this article does not constitute or contain legal advice or create an attorney-client relationship. When determining your obligations and compliance with respect to relevant laws and regulations, you should consult a licensed attorney.

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Filed under: HITRUST

Author: SecureSlate Team

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