What Are HITRUST Certifications? Types, Requirements, and How to Get Certified

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What Are HITRUST Certifications? Types, Requirements, and How to Get Certified

Kevin Henry

HIPAA

August 13, 2025

7 minutes read
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What Are HITRUST Certifications? Types, Requirements, and How to Get Certified

Overview of HITRUST Certification Levels

HITRUST Certifications provide independent assurance that your information protection program aligns with the HITRUST CSF across relevant control requirements. Organizations pursue these certifications to demonstrate strong security and privacy practices to customers, partners, and regulators.

There are three certification levels, each delivering a different depth of assurance via a validated assessment performed by a HITRUST Authorized External Assessor and reviewed by HITRUST:

  • e1: Foundational, streamlined controls for low-risk environments and smaller vendors.
  • i1: Moderate assurance, threat-adaptive baseline for broader third‑party and internal risk management.
  • r2: Highest assurance with extensive testing, suitable for complex or highly regulated environments.

How assurance is measured

HITRUST evaluates your implementation and maturity across HITRUST CSF control domains. Certification score criteria consider documented policies, procedures, and operating effectiveness. To earn certification, you must satisfy HITRUST’s control requirements threshold; any gaps trigger corrective action plans (CAPs) and may impact eligibility.

All three levels rely on a validated assessment conducted under external assessor authorization. HITRUST performs a quality review and issues the decision once evidence, scoring, and CAPs meet the program’s certification score criteria.

HITRUST e1 Certification Details

The e1 is designed for organizations seeking a fast, focused path to demonstrate essential cyber hygiene. It concentrates on a concise set of baseline controls, helping you meet core expectations common in third‑party risk questionnaires.

What the e1 emphasizes

  • Scope fit: Low-risk services or products with limited data sensitivity and straightforward architectures.
  • Evidence depth: Targeted documentation and implementation checks to confirm foundational practices are both defined and in use.
  • Assurance nature: A validated assessment confirms that minimum control requirements are operating as intended at the time of review.

When the e1 is a good choice

  • You need an entry‑level certification to satisfy customer due diligence quickly.
  • Your environment is simple, with minimal in-scope systems and interfaces.
  • You are building toward i1 or r2 and want early market signal of progress.

HITRUST i1 Certification Details

The i1 provides moderate assurance with a broader and more rigorous set of requirements. Its threat‑adaptive design means the baseline is periodically updated to reflect emerging risks, making it well‑suited for organizations facing heightened third‑party scrutiny.

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What the i1 emphasizes

  • Control coverage: Wider set of practices across HITRUST CSF control domains, including access control, vulnerability management, and monitoring.
  • Testing rigor: Deeper operating‑effectiveness testing and stronger expectations for maintained procedures and evidence.
  • Use cases: Mid‑size vendors, SaaS platforms, and organizations seeking a recognized, annually renewable certification for customer assurance.

When the i1 is a good choice

  • You need more depth than e1 without the full complexity of r2.
  • Your customers require a validated assessment demonstrating mature day‑to‑day operations.
  • You want a repeatable, annually tested baseline aligned to current threats.

HITRUST r2 Certification Details

The r2 delivers the highest level of assurance. It adapts the HITRUST CSF to your organization’s risk factors and regulatory drivers, combining comprehensive documentation reviews with extensive testing of operating effectiveness.

What the r2 emphasizes

  • Depth and complexity: More requirements, broader evidence sampling, and detailed evaluation of implemented, measured, and managed practices.
  • Regulatory alignment: Strong fit for organizations handling sensitive data or subject to multiple regulatory obligations.
  • Lifecycle oversight: Two‑year certification period that includes an interim assessment to confirm sustained performance.

When the r2 is a good choice

  • You operate in a complex, multi‑environment, or highly regulated context.
  • Your customers demand the most rigorous, independently validated assurance.
  • You want a certification that can scale to enterprise breadth with deep testing.

Certification Process and Scoping

Step‑by‑step path to certification

  • 1) Define objectives: Clarify why you need HITRUST Certifications (customer demands, regulatory drivers, or program maturity goals).
  • 2) Certification scoping: Identify in‑scope systems, data types, business processes, locations, and third parties. Map data flows and interfaces to set clear boundaries.
  • 3) Readiness assessment: Perform a gap analysis against applicable HITRUST CSF control domains. Prioritize remediation to meet the control requirements threshold.
  • 4) Select your assessor: Engage a firm with external assessor authorization. Align on timelines, sampling, evidence expectations, and communication protocols.
  • 5) Validated assessment fieldwork: Provide policies, procedures, and operational evidence. The assessor tests design and operating effectiveness and documents results.
  • 6) Remediation and CAPs: Address findings. Where immediate remediation isn’t feasible, create CAPs with owners and timelines.
  • 7) HITRUST quality review and scoring: HITRUST reviews the submission, applies certification score criteria, and verifies that required thresholds are met.
  • 8) Certification decision: Upon approval, you receive the certificate and validated report to share with stakeholders.

Scoping essentials

  • Right‑size the boundary: Over‑scoping increases cost and complexity; under‑scoping risks gaps. Align scope to the products, services, and data you market.
  • Account for hosting patterns: Include cloud services, production and non‑production environments, and any shared controls.
  • Third‑party dependencies: Capture vendors that store, process, or transmit in‑scope data; define how inherited controls are evidenced.
  • Change awareness: Significant architectural or organizational changes can alter applicable requirements and sampling.

Interim Assessment for r2 Certification

The r2 includes a required midpoint review to confirm continued control performance. This interim assessment protocol verifies that controls remain implemented and effective and that previous CAPs are on track.

What the interim covers

  • Targeted testing: Re‑evaluation of a defined subset of requirements, with sampling to confirm sustained operation.
  • Change review: Assessment of material changes in scope, technology, ownership, or risk profile since certification.
  • CAP progress: Verification that remediation milestones are being met and risk is reduced.
  • Outcomes: Continued good standing, requests for additional remediation, or, if warranted, impacts to certification status.

Certification Costs and Validity

Validity periods differ by level: e1 and i1 are typically renewed annually through a fresh validated assessment, while r2 spans two years with an interim assessment at the midpoint to maintain assurance.

Primary cost drivers

  • Scope and complexity: Number of systems, environments, interfaces, and locations increase assessment effort.
  • Evidence readiness: Mature documentation and well‑organized artifacts reduce rework and assessor time.
  • Assessor effort: External assessor authorization enables validated assessments; effort scales with testing depth and sampling.
  • Remediation: Investments to close gaps (tools, processes, staffing) can exceed assessment fees but strengthen outcomes.
  • Operational factors: Onsite visits, time zones, and coordination overhead impact schedule and budget.

Conclusion

Choose e1 for essential assurances, i1 for a threat‑adaptive baseline with moderate rigor, and r2 when you need the most comprehensive, risk‑based validation. Effective certification scoping, disciplined evidence management, and proactive remediation against the control requirements threshold are the fastest paths to passing HITRUST’s certification score criteria and sustaining trust with stakeholders.

FAQs

What are the key differences between HITRUST e1, i1, and r2 certifications?

e1 delivers foundational assurance with a concise control set, ideal for low‑risk or smaller scopes. i1 expands coverage and testing for moderate assurance using a threat‑adaptive baseline. r2 provides the highest rigor, tailoring requirements to risk and performing extensive operating‑effectiveness testing across HITRUST CSF control domains, with a two‑year cycle that includes an interim assessment.

How long is each HITRUST certification valid?

e1 and i1 are generally valid for one year and require a new validated assessment for renewal. r2 is valid for two years, provided you successfully complete the required interim assessment at the midpoint to confirm ongoing control performance.

What is involved in the HITRUST certification assessment process?

You define scope, perform readiness work, and engage a firm with external assessor authorization. The assessor conducts a validated assessment, testing documentation and operating effectiveness. Findings are remediated or placed into CAPs. HITRUST reviews the submission, applies certification score criteria, and issues the certification decision once control requirements thresholds are met.

What are the cost factors for obtaining HITRUST certification?

Costs depend on scope size and complexity, preparedness of policies and evidence, assessor effort, remediation needs, and logistical considerations such as onsite work. Investing in clear certification scoping, mature documentation, and early gap closure reduces both elapsed time and overall spend.

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