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HIPAA-Compliant Cloud: AWS, Azure, Google Cloud and Microsoft 365

Cloud HIPAA readiness — BAAs, shared responsibility, and what “HIPAA eligible” services mean on AWS, Azure, GCP, and M365.

Published: September 2026 Compliance · HIPAA 8–12 min read

“HIPAA-compliant cloud” is not a magic checkbox. Major providers offer Business Associate Agreements for in-scope services and publish shared-responsibility guidance. You remain responsible for identity, configuration, logging, and minimum-necessary use of PHI.

Related: HIPAA hub · BAA · Encryption.

BAA — Covered entities must obtain satisfactory assurances via a Business Associate Agreement (see 45 CFR 164.308(b), 164.314(a), 164.504(e)). After HITECH / 2013 Omnibus, business associates are directly liable for Security Rule, certain Privacy Rule provisions, and Breach Notification Rule compliance.

Shared Responsibility Snapshot

Provider typically
Customer typically
BAA for eligible services; physical/datacenter controls
Which services store PHI; IAM; encryption config; logging; BA subprocessors you add

Provider Notes (Confirm on Public Docs)

Always verify the live BAA scope before placing ePHI in a new service SKU.

How CyberSilo Helps

Make Cloud BAAs Operational

Inventory eligible services, encryption, and audit logging — not just the signed PDF.

Frequently Asked Questions

Does a cloud BAA make us HIPAA compliant?

No. A BAA is necessary for BA relationships with the provider but does not replace your Security Rule, Privacy Rule, and configuration duties.

Can we put PHI in any cloud service?

Only in services covered by the provider’s BAA / eligible list, configured per guidance, with your own access and logging controls.

Who monitors cloud admin access?

You do — typically via cloud audit logs into a SIEM such as ThreatHawk.

HIPAA hub · SIEM · CSA

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