Code of Federal Regulations (Last Updated: November 8, 2024) |
Title 45 - Public Welfare |
Subtitle A - Department of Health and Human Services |
SubChapter C - Administrative Data Standards and Related Requirements |
Part 164 - Security and Privacy |
Subpart C - Security Standards for the Protection of Electronic Protected Health Information |
Appendix A to Subpart C of Part 164 - Security Standards: Matrix
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Appendix A to Subpart C of Part 164 - Security Standards: Matrix
Standards Sections Implementation Specifications (R) = Required, (A) = Addressable Administrative Safeguards Security Management Process 164.308(a)(1) Risk Analysis (R) Risk Management (R) Sanction Policy (R) Information System Activity Review (R) Assigned Security Responsibility 164.308(a)(2) (R) Workforce Security 164.308(a)(3) Authorization and/or Supervision (A) Workforce Clearance Procedure Termination Procedures (A) Information Access Management 164.308(a)(4) Isolating Health care Clearinghouse Function (R) Access Authorization (A) Access Establishment and Modification (A) Security Awareness and Training 164.308(a)(5) Security Reminders (A) Protection from Malicious Software (A) Log-in Monitoring (A) Password Management (A) Security Incident Procedures 164.308(a)(6) Response and Reporting (R) Contingency Plan 164.308(a)(7) Data Backup Plan (R) Disaster Recovery Plan (R) Emergency Mode Operation Plan (R) Testing and Revision Procedure (A) Applications and Data Criticality Analysis (A) Evaluation 164.308(a)(8) (R) Business Associate Contracts and Other Arrangement 164.308(b)(1) Written Contract or Other Arrangement (R) Physical Safeguards Facility Access Controls 164.310(a)(1) Contingency Operations (A) Facility Security Plan (A) Access Control and Validation Procedures (A) Maintenance Records (A) Workstation Use 164.310(b) (R) Workstation Security 164.310(c) (R) Device and Media Controls 164.310(d)(1) Disposal (R) Media Re-use (R) Accountability (A) Data Backup and Storage (A) Technical Safeguards (see § 164.312) Access Control 164.312(a)(1) Unique User Identification (R) Emergency Access Procedure (R) Automatic Logoff (A) Encryption and Decryption (A) Audit Controls 164.312(b) (R) Integrity 164.312(c)(1) Mechanism to Authenticate Electronic Protected Health Information (A) Person or Entity Authentication 164.312(d) (R) Transmission Security 164.312(e)(1) Integrity Controls (A) Encryption (A)