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HITRUST CCSFP Exam Questions
Certified CSF Practitioner 2025 (Page 3 )

Updated On: 27-Feb-2026
Page 3 of 30
PDF with 141 Questions

A pharmacy that accepts Medicare/Medicaid and also takes credit cards should include which regulatory factors in their assessment?

  1. FISMA
  2. FTC Red Flags Rule
  3. PCI-DSS
  4. FedRAMP
  5. CMS (Centers for Medicare and Medicaid Services) Minimum Security Requirements (High)

Answer(s): B,C,E

Explanation:

Scoping an assessment involves identifying regulatory factors that apply to an organization's operations. In this case, the entity is a pharmacy that accepts Medicare/Medicaid and processes credit cards. Medicare/Medicaid participation introduces obligations under CMS Minimum Security Requirements (High), which adds federal requirements specific to healthcare entities working with Centers for Medicare and Medicaid Services. Credit card acceptance triggers applicability of the Payment Card Industry Data Security Standard (PCI-DSS), a widely recognized standard for protecting cardholder data. Additionally, pharmacies often fall under the FTC Red Flags Rule, which applies to organizations that maintain consumer accounts and must protect against identity theft. By contrast, FISMA applies to federal agencies or contractors, not pharmacies, and FedRAMP applies only to cloud service providers working with the federal government. Therefore, the correct set of regulatory factors is FTC Red Flags Rule, PCI-DSS, and CMS Minimum Security Requirements (High).


Reference:

HITRUST CSF Assessment Methodology ­ "Regulatory Factors"; CCSFP Study Guide ­ "Mapping Healthcare and Financial Regulatory Factors."



When testing, can you sample across a population of ungrouped primary components within an assessment's scope?

  1. Yes, across most of the components within scope
  2. No, you must test all components within scope
  3. Yes, across some of the components within scope
  4. Yes, a primary component sample can be produced using guidance from the scoring rubric

Answer(s): B

Explanation:

HITRUST distinguishes between grouped and ungrouped components.
When primary components (e.g., servers, databases, firewalls) are not grouped, they must be tested individually. This is because each ungrouped component may have unique configurations, operational practices, or control implementations, meaning sampling would not yield accurate results. Sampling is only permitted when components are grouped and proven to be functionally identical. In ungrouped situations, the assessor must test each component to validate control effectiveness. This ensures accuracy in scoring and avoids the risk of overlooking control failures in heterogeneous environments. Therefore, when components remain ungrouped, the assessor is required to test all components within scope and cannot rely on sampling methods.


Reference:

HITRUST CSF Assurance Program ­ "Component Scoping & Sampling"; CCSFP Practitioner Guide ­ "Ungrouped Component Testing."



Measured and Managed Maturity Levels can be scored for some, but not all, requirements in an r2 assessment object.

  1. True
  2. False

Answer(s): A

Explanation:

The HITRUST scoring methodology uses five maturity levels: Policy, Procedure, Implemented,

Measured, and Managed. However, not every requirement statement includes Measured and Managed maturity elements. These two levels are applied selectively, particularly to requirements that lend themselves to performance monitoring and ongoing governance. For example, requirements involving logging, monitoring, and reporting often include "Measured" and "Managed" dimensions, while policy-only requirements may not. In r2 assessments, assessors should review the applicable requirement statements in MyCSF to see which maturity levels are required. This ensures that maturity scoring is accurate and aligned with HITRUST's intent. Therefore, the statement that Measured and Managed can be scored for some but not all requirements in r2 is True.


Reference:

HITRUST Scoring Rubric ­ "Maturity Level Scoring"; CCSFP Study Guide ­ "Application of Measured and Managed Levels."



How large would the sample size be for a manual control with a population of 56 unique items?

  1. 5
  2. 8
  3. 6
  4. 25
  5. 56

Answer(s): B

Explanation:

HITRUST provides sampling guidance in the CSF Assessment Methodology and scoring rubric for manual controls. Sample sizes are determined by the population of items and the control's frequency. For a population of 56 items, the expected sample size is 8, following HITRUST's defined sampling table. This approach is based on statistical sampling principles but simplified for consistent assessor use. The sample must be randomly selected and representative of the entire population to avoid bias. Larger populations require larger sample sizes, but at certain thresholds, the increase is incremental. For example, a population between 26­100 items requires a sample size of 8. This ensures sufficient testing coverage without requiring a full census. Therefore, the correct sample size for 56 items is 8.


Reference:

HITRUST CSF Scoring Rubric ­ "Sampling Requirements for Manual Controls"; CCSFP Study Guide ­ "Sampling by Population Size."



The HITRUST CSF is updated on an annual basis.

  1. True
  2. False

Answer(s): B

Explanation:

The HITRUST CSF is a living framework designed to align with multiple regulatory and industry standards such as HIPAA, NIST, ISO, PCI DSS, and GDPR.
While it is updated regularly to maintain alignment with these external sources, the update cycle is not strictly annual. HITRUST publishes updates as needed, typically in major releases (e.g., v9.1, v9.4, v11) and interim updates when regulatory changes occur. For example, significant updates may happen every 18­24 months, with minor updates issued in between. This flexibility allows HITRUST to remain responsive to evolving security, privacy, and compliance requirements rather than being bound to a fixed yearly schedule. Therefore, the statement that the CSF is always updated annually is False.


Reference:

HITRUST CSF Overview ­ "Versioning and Updates"; CCSFP Practitioner Guide ­ "Framework Maintenance and Update Cycles."






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