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CCSP Practice Question: Migrating to the cloud and must comply with the…

A company is migrating to the cloud and must comply with the Health Insurance Portability and Accountability Act (HIPAA). They plan to store electronic protected health information (ePHI) in a cloud database. Which of the following is a mandatory requirement for the cloud service agreement?

⚠ Common exam trap

ISC2 often tests the distinction between mandatory (required) and addressable (optional but must be documented if not implemented) specifications under HIPAA, leading candidates to incorrectly select encryption or testing frequency as mandatory requirements.

Answer choices

Why each option matters

Answer the question above first, then reveal the full breakdown to understand why each option is right or wrong.

Correct answer & explanation

The CSP must sign a Business Associate Agreement (BAA).

Under HIPAA, a covered entity or business associate must have a written Business Associate Agreement (BAA) with any cloud service provider (CSP) that creates, receives, maintains, or transmits electronic protected health information (ePHI) on their behalf. The BAA is a mandatory contractual requirement that establishes the CSP's permitted uses and disclosures of ePHI, as well as its obligations to safeguard the data. Without a signed BAA, the CSP cannot lawfully handle ePHI, making this the only option that is a direct regulatory mandate under HIPAA.

Answer analysis

Option-by-option breakdown

For each option: why learners choose it and why it is or isn't the right answer here.

  • The CSP must store data in a specific geographic location.

    Why it's wrong here

    HIPAA does not mandate geographic storage locations.

  • The CSP must perform quarterly penetration tests.

    Why it's wrong here

    HIPAA does not specify frequency of penetration tests.

  • The CSP must encrypt all data at rest using AES-256.

    Why it's wrong here

    Encryption is an addressable implementation specification, not a mandatory requirement.

  • The CSP must sign a Business Associate Agreement (BAA).

    Why this is correct

    A BAA is required to ensure the CSP safeguards ePHI.

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JA

Written by Johnson Ajibi, MSc IT Security

Senior Network & Security Engineer · founder of Courseiva

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