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HIPAA Compliance Checklist (On-Page)

Operational HIPAA checklist for Privacy, Security, and Breach Notification — request a spreadsheet via contact; no fake download.

Published: September 2026 Compliance · HIPAA 10–14 min read

Use this as a working HIPAA compliance checklist in the browser. There is no fake Excel attachment. If you want a spreadsheet tracker, request it via contact or build rows inside CyberSilo CSA.

Related: HIPAA hub · Risk analysis · Policies.

Required vs Addressable (Security Rule) — 45 CFR 164.306(d): Required implementation specifications must be implemented. Addressable specs: implement if reasonable and appropriate; if not, document why and implement an equivalent alternative measure if reasonable and appropriate. Addressable ≠ optional.

Documentation retention — 45 CFR 164.316(b)(2): retain Security Rule documentation for 6 years from the date of creation or the date when it last was in effect, whichever is later. This covers policies, procedures, and related documentation — not a separate “6-year SIEM log retention” statute. Operational log retention is a risk-based practice supporting audit controls (164.312(b)).

Governance & Scope

Security Rule

Privacy & Breach

How CyberSilo Helps

Convert the Checklist Into Continuous Evidence

Stop re-building spreadsheets before every OCR letter — keep control status live.

Frequently Asked Questions

Is there an official HHS HIPAA checklist Excel?

HHS publishes guidance and audit protocols; organisations maintain their own trackers. This page is an operational outline, not an HHS form.

How often should we revisit the checklist?

At least when systems change materially, after incidents, and on a scheduled cadence aligned to risk analysis updates.

Can software complete the checklist for us?

Software organises evidence; leadership remains accountable for CE/BA compliance.

HIPAA hub · OCR prep · Software · CSA

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