MFA review | Accountable Docs

MFA review

Confirm multi-factor authentication across the apps that touch PHI.

Multi-factor authentication on the systems that touch PHI is one of the highest-leverage technical safeguards you can have. MFA Review surfaces, in one place, who has it on and who doesn't — across the apps your team actually uses.

What MFA Review checks

When you connect Google Workspace or Microsoft 365, Accountable reads MFA enrollment status for every user. It cross-references that against your vendor inventory, so you can see not just who has MFA enabled, but who's missing it on a system that matters.

Why this matters more than 'do you have an MFA policy'

An MFA policy on paper is necessary but not sufficient. OCR has issued breach settlements where the organization had a policy but couldn't show enforcement. MFA Review is the enforcement evidence.

Setting it up

  1. Connect your identity provider

    Under Settings → Integrations, connect Google Workspace or Microsoft 365. Accountable uses read-only API access — it can see enrollment status but can't change it.

  2. Open MFA Review

    Under People & Training in the left sidebar. You'll see a roster of every employee and their MFA enrollment status.

Acting on gaps

  • Send enrollment reminders — Notify affected employees with instructions for the specific app. You can do this individually or ask Compliance Copilot to "send MFA enrollment reminders to everyone who's not enrolled."
  • Document exceptions — For the rare service that truly can't support MFA, log the exception so it shows up in your compliance documentation.
  • Ignore/unignore — Mark specific MFA statuses to ignore if they're not relevant (e.g., a service account).

Ongoing monitoring

Accountable runs MFA checks periodically and Compliance Copilot can run a fresh check on demand. You'll be alerted if your overall MFA coverage drops.

Last updated April 29, 2026
Was this helpful?