EvidenceSheet

164.308(a)(4)(ii)(B) Access Authorization (Addressable)

Implement policies for granting access to ePHI via workstation, transaction, program, or process. NIST recommends formal access request workflow with approval and provisioning records.

4
artefacts
2
held by a system
1
at each review
easy
to go live
Identity provider / directory
where the evidence lives
teal = a system already holds it · olive = produced at each review

system holds itEvidence a system already holds

  • Provisioning logs · Identity provider / directory
  • Role assignment audit trail · Identity provider / directory

periodic reviewEvidence produced at each review

  • Approval records · Identity provider / directory

governing documentDocuments that govern the control

  • Access request workflow tool · Policy repository / GRC workspace

First move

Automate the pull from your Identity provider / directory. Scheduled export of users, roles and MFA state from the directory; access-review completion pulled from the IdP, not a spreadsheet.

Common gaps auditors find

Do this for your whole sheet

Paste the rows you run your controls from and get this mapping for every control at once, with the periodic-review ones flagged and a first move per row. No account for the first run.

Build my evidence sheet

164.308(a)(4)(ii)(A) Isolating Health Care Clearinghouse Functions (Required if applicable) · 164.308(a)(4)(ii)(C) Access Establishment and Modification (Addressable)