Documentation- Availability

§164.316(b)(2)(ii): Make documentation available to those persons responsible for implementing the procedures to which the documentation pertains.

Audit Inquiry

Does the entity have policies and procedures in place requiring that documentation be made available to the workforce members responsible for implementing applicable Security Rule policies and procedures?

Obtain and review documentation of policies and procedures regarding the availability of documentation.

Obtain and review documentation demonstrating that Security Rule policies and procedures are made available to the workforce members responsible for implementing the pertaining procedures. Evaluate and determine if implementation is in accordance with related policies and procedures.

Required/Addressable

Required