FAQ

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DirectTrust Basics

What is the Provider Directory Data Aggregation Service and who can access the information?

The DirectTrust Provider Directory Data Aggregation Service is designed to promote interoperability of Direct exchange by encouraging the sharing of Direct Address information among DirectTrust accredited HISPs and their Subscribers on a non-commerical basis, while maintaining the integrity and currency of the Direct Address information.    For more information about the DirectTrust Provider Directory Data Aggregation Service, you can email Admin@DirectTrust.org.

How do we become a member of DirectTrust?

To become a member of DirectTrust you will simply need to fill out the membership application and pay your membership dues. Visit https://www.directtrust.org/become-a-member/ for more information.

How can I pay my membership dues or renew my membership?

You can pay your membership dues by credit card or check:

For credit card payments, please visit https://directtrust.wildapricot.org

Make checks payable to: DirectTrust.org 

DirectTrust.org Member Services

PO Box  2885

Blairsville, GA  30514

Does DirectTrust provide secure email services or Direct addresses?

No, not directly. DirectTrust is a non-profit trade association that develops and maintains the policies, standards, and practices that support the trusted and effective use of Direct messaging. Organizations become members of DirectTrust to have a voice in the development of these policies, network with similar organizations, and stay abreast of the continually evolving regulatory environment. To exchange messages via Direct, you will need to partner with a HISP (health information service provider). The DirectTrust Accredited HISPs (http://www.directtrust.org/accreditation-status/) have undergone a rigorous testing and audit process to show that they are in compliance with the DirectTrust Certificate Policy. So it’s not DirectTrust that provides Direct messaging services, it is the accredited HISPs.

How can I find out if an organization is a member of DirectTrust?

To see a list of DirectTrust Members go to https://www.directtrust.org/our-members/

What are the benefits to becoming a Member of DirectTrust?

You can review the benefits of DirectTrust membership by visiting https://www.directtrust.org/membership/. For more information, contact Admin@DirectTrust.org.

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DirectTrust Accreditation Programs

Who may be accredited?

The voluntary accreditation programs accredits entities who perform as “trusted agents” for user/subscribers of Direct exchange, including Health Internet Service Providers (HISPs), Certificate Authorities (CAs), and Registration Authorities (RAs).

How do I become an accredited DirectTrust HISP, RA, or CA?

DirectTrust operates an Accreditation Program for its Health Information Service Providers (HISPs), Certification Authorities (CAs), and Registration Authorities (RAs). The purpose of the Accreditation Program is to ensure that HISPs, CAs, and RAs, are in compliance with DirectTrust Community Policy requirements. The Accreditation Program for HISPs ensures interoperability with other confirming HISPs and the Accreditation Programs for CAs and RAs ensures your organization is recognized as a trustworthy agent and service provider.

Becoming Accredited is a requirement for inclusion in the Accredited Trust Anchor Bundle.

To apply for DirectTrust Accreditation, please follow this link to the DirectTrust Accreditation site.

What are the benefits of DirectTrust HISP Accreditation?

Accreditation of your HISP by DirectTrust brings recognition that your organization operates at a very high level of privacy, security, and trust in identity, and signals to users/subscribers that you are a trustworthy agent and service provider for Direct Secure Messaging. Accreditation also means that your anchor certificates may be included in the Trusted Anchor Bundle Distribution Service (or network) provided by DirectTrust (see www.services.directtrust.org). Distribution of trusted anchor bundles is DirectTrust members’ way of creating federated trust among the DirectTrust community, eliminating the need for most costly bi-directional contracts and time-consuming negotiations between each HISP that wishes to exchange Direct Secure Messages and attachments with other HISPs and their users/subscribers. Accreditation provides clarity, transparency, and choice as to levels of assurance of certificates issued by DirectTrust community members, and for use by relying parties in Directed exchange.

What are the benefits of DirectTrust CA/RA accreditation?

Accreditation of your CA, and/or RA by DirectTrust brings recognition that your organization operates at a very high level of privacy, security, and trust in identity, and signals to users/subscribers that you are a trustworthy agent and service provider for Directed exchange services. Accreditation also means that your anchor certificates may be included in the Trusted Anchor Bundle Distribution Service that is provided by DirectTrust (see www.services.directtrust.org). Distribution of trusted anchor bundles is DirectTrust members’ way of creating federated trust among the DirectTrust community, eliminating the need for most costly bi-directional contracts and time-consuming negotiations between each HISP that wishes to exchange Direct Secure Messages and attachments with other HISPs and their users/subscribers. Accreditation provides clarity, transparency, and choice as to levels of assurance of certificates issued by DirectTrust community members, and for use by relying parties in Direct exchange.

Where can I find the DirectTrust HISP Accreditation FAQ's?
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Trust Bundle

How do we join the Accredited Trust Anchor Bundle?

To join the Accredited Trust Bundle, you will need to apply to the Trust Anchor Approval Committee, and upload your certificates and other artifacts for review by the Committee.  Instructions and detailed information are available at the DirectTrust Trust Network Services website at services.directtrust.org.   You will need meet the following requirements for inclusion in the Bundle: 1. The HISP and CA/RA must sign the Federated Services Agreement with DirectTrust.  The FSA is a legal document that binds the Direct service provider to its terms and conditions. 2. The HISP and CA/RA must have paid its initial annual fees for use of the DirectTrust Anchor Certificate Services. 3. The HISP must be fully accredited through the DirectTrust Accreditation Program and CA/RA must be fully-accredited and audited by DirectTrust-EHNAC.. When these requirements are met: A. The HISP must submit to the Approval Committee the following artifacts via the website: 1. All trust anchor file(s). 2. Sample end-entity certificate(s) chaining to each trust anchor .3. Completed profile spreadsheet. Once your submission is complete, the Trust Anchor Approval Committee will be notified and will review your submission in a timely manner.

Is there a list of HISPs in the Accredited Trust Anchor Bundle?

Yes, go to https://services.directtrust.org/about_accredited_bundle/#table for a list of HISPs in the Accredited Trust Bundle