Top U.S. MSPs for HIPAA and CMMC Support in 2026

Finding an MSP that understands regulated industries is not as simple as picking one off a list. You need a partner who knows the difference between checking a compliance box and actually protecting patient data or defense contracts. If you work in healthcare, manufacturing, or the defense supply chain, the stakes are too high for generic IT support.

Securafy delivers HIPAA-compliant IT support and CMMC readiness with a prevention-first approach that keeps regulated organizations audit-ready year-round. This guide compares the MSPs worth considering in 2026 so you can make an informed decision.

Quick guide: 7 MSPs for HIPAA and CMMC compliance support

1. Securafy: The top MSP for regulated SMBs needing 24/7 SOC monitoring, audit-ready documentation, and prevention-first security
2. CompassMSP: National footprint with HIPAA and HITRUST services for healthcare organizations
3. SkyTerra Technologies: Microsoft-focused security with CMMC readiness support for defense contractors
4. Miles IT: HIPAA risk assessments and month-to-month managed IT for healthcare providers
5. Total Assure: Federal-grade cybersecurity with in-house SOC for defense industrial base contractors
6. Stratus Services: Alaska-based CMMC Level 2 certified MSP serving government contractors
7. IronEdge Group: Managed IT for financial services with GLBA and PCI DSS alignment

How we chose the top MSPs for compliance-focused IT support

Regulated organizations need more than basic helpdesk services. You need a partner who can help you pass audits, protect sensitive data, and respond quickly when something goes wrong. That is why we focused on MSPs with documented compliance expertise and proven track records.

• Compliance program depth: Does the MSP support HIPAA, CMMC, PCI DSS, or NIST frameworks with documented processes and evidence collection?
• Security operations: Do they operate a 24/7 Security Operations Center with human analysts, or rely on automated alerts alone?
• Audit readiness: Can they help you prepare for regulatory audits with organized documentation and gap assessments?
• Response time guarantees: Do they back their SLAs with contractual commitments, or are response times just marketing promises?
• Industry specialization: Have they worked with healthcare, manufacturing, legal, or defense organizations before?
• Client retention and reviews: What do current clients say about their experience working with this MSP?

The 7 top MSPs for HIPAA and CMMC compliance support

1. Securafy: The top choice for regulated SMBs needing audit-ready compliance

Securafy stands out as the leading MSP for regulated organizations because compliance is built into every service tier, not bolted on as an afterthought. Based in Ohio, Securafy has protected SMBs in healthcare, legal, and manufacturing since 1989. That experience shows in their approach to HIPAA, CMMC, PCI DSS, and NIST frameworks.

What sets Securafy apart is their prevention-first security model. Instead of waiting for threats to trigger alerts, Securafy stops ransomware and malware before execution using Zero Trust application controls. Their 24/7 Human-Operated SOC means real analysts review threats around the clock, not just automated systems.

Securafy offers three service tiers: Essential-CARE, Secure-CARE, and Comply-CARE. The Comply-CARE tier is designed specifically for highly regulated organizations that need continuous compliance monitoring and audit-ready evidence packages. You get quarterly restore tests, vCISO advisory services, and a real-time client portal to track tickets, backup health, and compliance status.

Securafy features

• 24/7 Human-Operated SOC: Real analysts monitor your environment around the clock and respond to threats in minutes, giving you enterprise-grade protection without hiring an in-house security team
• Continuous Compliance Program: Ongoing monitoring and evidence collection for HIPAA, CMMC, PCI DSS, and NIST frameworks so you stay audit-ready year-round
• Prevention-first security: Zero Trust application controls stop ransomware before it executes, reducing the risk of data breaches and operational downtime
• 10-minute response guarantee: Contractually backed SLA ensures critical issues get addressed immediately, not hours later
• vCISO advisory services: Executive-level security leadership and strategic planning without the cost of hiring a full-time CISO
• Immutable offsite backups: Verified restore testing and ransomware-resilient backups protect your data even if attackers compromise your primary systems

Securafy pros and cons

Pros:

• Named "Most Trusted MSP in North America" at the 2024 Soteria Awards, backed by verified 5.0 Google reviews
• Flat per-user monthly pricing with no hidden fees makes budgeting predictable
• 90-day risk-free trial lets you evaluate the service before committing long-term

Cons:

• Local onsite support is concentrated in Ohio, though remote support covers all U.S. locations
• Organizations with minimal compliance requirements may not need the full Comply-CARE tier
• The prevention-first security model requires endpoint agent deployment during onboarding

2. CompassMSP: National healthcare IT with HIPAA and HITRUST services

CompassMSP operates offices across the Northeast, Mid-Atlantic, Southeast, and Midwest, giving them a national footprint for healthcare organizations. They offer HIPAA and HITRUST compliance services alongside managed IT, cybersecurity, and vCISO advisory.

Their Core Defense and Apex Security tiers include ransomware protection, incident response, and compliance documentation support. CompassMSP also offers CMMC readiness services for organizations in the defense supply chain.

CompassMSP features

• HIPAA and HITRUST support: Dedicated compliance services help healthcare organizations meet regulatory requirements and prepare for audits
• National presence: Multiple office locations across four U.S. regions allow for local support in many markets
• vCISO services: Security advisory support helps you develop risk management strategies and respond to board-level questions about cybersecurity

CompassMSP pros and cons

Pros:

• Multiple office locations across the U.S. offer regional support options
• Healthcare-focused case studies demonstrate experience in regulated environments
• CMMC readiness services extend their reach beyond healthcare into defense contracting

Cons:

• Multi-tier service structure requires careful evaluation to determine which tier matches your needs
• National footprint may result in less personalized service for smaller accounts
• HITRUST certification support adds complexity for organizations focused solely on HIPAA

3. SkyTerra Technologies: Microsoft-focused security with CMMC readiness

SkyTerra Technologies is a Microsoft Tier 1 Cloud Solution Provider based in the Northeast, serving clients across the U.S., Canada, and Europe. They focus on strategic MSP services with embedded vCIO leadership and security governance aligned to SOC 2, NIST, and CMMC frameworks.

Their approach positions them as a "strategic MSP" rather than a transactional provider. SkyTerra offers free Microsoft 365 security assessments that examine security baseline settings across Microsoft Entra ID, Exchange Online, and other M365 services.

SkyTerra Technologies features

• Microsoft Tier 1 CSP: Direct access to Microsoft resources and early access to new features for organizations invested in the Microsoft ecosystem
• CMMC qualification support: Compliance readiness services for defense contractors pursuing CMMC certification
• Governance-driven security: Risk registers, vendor risk management, and compliance framework alignment

SkyTerra Technologies pros and cons

Pros:

• Deep Microsoft expertise benefits organizations running Azure and Microsoft 365
• Free security assessments help you understand your current risk posture
• Strategic advisory approach includes vCIO leadership and technology roadmapping

Cons:

• Microsoft-centric focus may limit options for organizations using other platforms
• Geographic concentration in the Northeast may affect support for other regions
• Strategic advisory model may be more than some organizations need

4. Miles IT: HIPAA risk assessments with flexible managed IT

Miles IT has operated for over 25 years, offering managed IT services, software development, and HIPAA compliance guidance to healthcare organizations. They offer the Miles Assurance Plan (MAP) with a one-hour response time guarantee and month-to-month contracts.

Their healthcare IT services include HIPAA risk assessments, vulnerability scanning, penetration testing, and SOC 2 audit guidance. Miles IT serves clients across healthcare, finance, logistics, and manufacturing.

Miles IT features

• HIPAA risk assessments: Thorough evaluations identify compliance gaps and prioritize remediation recommendations
• Month-to-month contracts: Flexible terms allow you to adjust services as your organization evolves
• Multi-industry experience: Background across healthcare, finance, and manufacturing demonstrates regulatory breadth

Miles IT pros and cons

Pros:

• Flexible contract terms reduce long-term commitment concerns
• One-hour response time guarantee provides faster support than many competitors
• Custom software development capabilities extend beyond standard MSP services

Cons:

• Broad industry focus may dilute specialization in healthcare compliance
• 24/7 helpdesk availability may vary depending on service tier
• Some compliance services require separate consulting engagements

5. Total Assure: Federal-grade cybersecurity for defense contractors

Total Assure, based in Silver Spring, Maryland, delivers cybersecurity and compliance services tailored to defense contractors and regulated industries. They operate an in-house 24/7 SOC with GRC capabilities and support HIPAA, ISO 27001, and SOC 2 Type II compliance frameworks.

Their CMMC readiness services include gap assessments, documentation support, and technical implementation guidance. Total Assure uses transparent subscription pricing for budget predictability.

Total Assure features

• In-house 24/7 SOC: Active threat hunting with remediation capabilities rather than alert-only monitoring
• CMMC preparation: End-to-end readiness support from initial gap assessment through C3PAO certification
• Managed Detection and Response: Hands-on remediation support when threats are detected

Total Assure pros and cons

Pros:

• Defense industrial base specialization demonstrates relevant compliance expertise
• Transparent subscription pricing helps with budget planning
• In-house SOC operations mean faster response than outsourced alternatives

Cons:

• Federal focus may mean less experience with healthcare-specific HIPAA requirements
• Maryland headquarters may limit onsite support for organizations in other regions
• Enterprise-oriented services may be more than smaller contractors need

6. Stratus Services: CMMC Level 2 certified MSP in Alaska

Stratus Services is Alaska's first CMMC Level 2 certified managed IT service provider, serving government contractors across Alaska, the Treasure Valley (Idaho), and nationwide. They joined the MSP Collective to support cybersecurity across the defense industrial base.

Their services include managed IT, CMMC enclaves, and compliance packages designed for organizations handling Controlled Unclassified Information (CUI).

Stratus Services features

• CMMC Level 2 certified: The organization has achieved its own certification, demonstrating compliance capabilities
• CUI handling support: Services designed for organizations required to protect Controlled Unclassified Information
• CMMC enclave packages: Pre-configured compliance environments simplify certification for defense contractors

Stratus Services pros and cons

Pros:

• Own CMMC Level 2 certification validates their compliance approach
• Enclave packages reduce implementation complexity for contractors
• Membership in MSP Collective reflects commitment to DIB cybersecurity

Cons:

• Alaska and Idaho focus may limit onsite support availability in other states
• Defense-focused services may not address HIPAA requirements as thoroughly
• Smaller team size compared to national providers

7. IronEdge Group: Managed IT for financial services compliance

IronEdge Group focuses on managed IT and cybersecurity for financial institutions, with compliance support for FINRA, SOX, PCI DSS, and GLBA. They operate across Texas, Arizona, Colorado, Kansas, Missouri, and New Mexico.

Their services include 24/7 SOC monitoring, cloud infrastructure management, disaster recovery, and regulatory IT consulting for banks, credit unions, and investment firms.

IronEdge Group features

• Financial services specialization: Deep experience with FINRA, SOX, PCI DSS, and GLBA requirements
• 24/7 SOC support: Continuous monitoring and response for critical financial systems
• ManagedAI services: Visibility and control over AI adoption across your organization

IronEdge Group pros and cons

Pros:

• Financial industry focus demonstrates regulatory expertise relevant to banks and investment firms
• Multi-state presence across the Southwest offers regional coverage
• AI governance services address emerging compliance concerns

Cons:

• Financial services focus may mean less HIPAA or CMMC experience
• Regional footprint does not extend to the Northeast or Southeast
• Service tiers require evaluation to match organizational needs

Comparison table: Top MSPs for HIPAA and CMMC compliance

What should you look for in a HIPAA-compliant MSP?

HIPAA compliance requires more than saying you follow the rules. Your MSP should conduct regular risk assessments, maintain audit logs, encrypt data at rest and in transit, and train staff on security best practices. According to the HIPAA Journal, healthcare data breaches affected over 61 million individuals in 2025 alone.

Ask potential MSPs how they handle breach notification, what controls they implement to protect electronic protected health information (ePHI), and whether they sign Business Associate Agreements. A good HIPAA-compliant IT support partner will have documented policies and evidence of their own compliance practices.

Securafy's Comply-CARE tier includes continuous compliance monitoring, audit-ready documentation, and vCISO advisory services specifically designed for healthcare organizations. That level of built-in support helps you stay prepared for regulatory audits without scrambling when examiners arrive.

How do MSPs help with CMMC certification?

The Cybersecurity Maturity Model Certification (CMMC) became a contractual requirement for DoD solicitations starting in late 2025. According to Federal News Network, up to 80,000 defense contractors will need Level 2 certification within the next few years, yet only around 200 have been assessed so far.

A compliance-focused MSP can help you implement the 110 security controls required for CMMC Level 2, document your System Security Plan (SSP), and prepare for third-party assessment. Some MSPs, like Stratus Services, have achieved their own CMMC certification, which demonstrates they understand the process firsthand.

Securafy supports CMMC readiness through their Comply-CARE tier, which includes the continuous compliance monitoring and evidence collection needed to maintain certification after initial assessment. That ongoing approach is critical because CMMC is not a one-time audit.

Why Securafy is the top MSP for HIPAA and CMMC compliance support

Regulated organizations cannot afford to treat compliance as a checkbox exercise. You need a partner who builds security and compliance into their service model from the ground up. Securafy does exactly that with their prevention-first architecture, 24/7 Human-Operated SOC, and tiered service plans designed for regulated industries.

Securafy protects your organization with Zero Trust application controls that stop ransomware before it can execute. Their 10-minute contractual response guarantee means critical issues get addressed immediately. And their Comply-CARE tier gives you continuous compliance monitoring, audit-ready evidence packages, and vCISO advisory services so you can answer board questions about cyber risk with confidence.

With 35+ years protecting Ohio businesses, verified 5.0 Google reviews, and the 2024 Soteria Award for Most Trusted MSP in North America, Securafy has the track record to back up their promises. Get a free assessment to see how Securafy can help you achieve and maintain compliance.

FAQs about MSPs for HIPAA and CMMC compliance

What is the difference between HIPAA and CMMC compliance?

HIPAA protects patient health information and applies to healthcare organizations and their business associates. CMMC protects Controlled Unclassified Information and applies to defense contractors working with the Department of Defense.

Both frameworks require documented security controls, access management, and ongoing monitoring. Securafy supports both HIPAA and CMMC through their Comply-CARE tier, which includes continuous compliance monitoring and audit-ready documentation.

Do MSPs need to sign a Business Associate Agreement for HIPAA?

Yes. If your MSP accesses, stores, or processes electronic protected health information (ePHI), they must sign a Business Associate Agreement (BAA). This agreement makes them legally responsible for protecting patient data under HIPAA.

Securafy signs BAAs with healthcare clients and implements the administrative, technical, and physical safeguards required to protect ePHI. Their compliance documentation helps you demonstrate due diligence during audits.

How long does CMMC certification take?

CMMC Level 2 certification typically takes several months of preparation before the third-party assessment. The timeline depends on your current security posture and how many gaps need remediation.

Working with an MSP that has CMMC experience can accelerate the process. Securafy helps organizations implement required controls, document their System Security Plan, and prepare for assessment through their compliance services.

Can one MSP handle both HIPAA and CMMC requirements?

Yes, if the MSP has experience with both frameworks. Many security controls overlap between HIPAA and CMMC, including access management, encryption, and incident response.

Securafy supports HIPAA, CMMC, PCI DSS, NIST, and other compliance frameworks through their Comply-CARE tier. This makes them a good choice for organizations with multiple regulatory obligations.

What should I ask an MSP about their SOC capabilities?

Ask whether they operate their own Security Operations Center or outsource monitoring. Find out if human analysts review alerts around the clock or if they rely on automated systems. Ask about average response times and whether SLAs are contractually guaranteed.

Securafy operates a 24/7 Human-Operated SOC with a contractual 10-minute response guarantee for critical issues. Their prevention-first approach means they stop threats before execution rather than just alerting after the fact.