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Set up Cowork (local mode) for a HIPAA-ready organization changedcowork/hipaa-setup

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1414>
1515> The Claude Code extensions for VS Code and JetBrains aren't part of (local mode). They keep working with the HIPAA configuration applied, but your BAA doesn't cover them. See the [Implementation Guide](https://trust.anthropic.com/resources?s=l1wrssd9hsbi4gak0tp5a6\&name=%5Banthropic%5D-hipaa-ready-offering-implementation-guide) for the full list of Eligible Services.
1616 
17This page is for the IT or security administrator who manages the macOS and Windows computers where members run [Cowork](/docs/cowork/overview) in Claude Desktop. Other readers start on a different page:
17This page is for the IT or security administrator who manages the macOS and Windows computers where members run [Cowork](/docs/cowork/overview.md) in Claude Desktop. Other readers start on a different page:
1818 
1919* **The Primary Owner, who applies the HIPAA configuration**: see [Use Claude Code (local mode) and Cowork (local mode) on a HIPAA-ready Enterprise plan](https://support.claude.com/en/articles/17318731) for what your BAA covers and how to apply the configuration
2020* **Administrators who prepare computers for Claude Code in the terminal**: see [Set up Claude Code (local mode) for a HIPAA-ready organization](https://code.claude.com/docs/en/hipaa-setup)
21* **Administrators of a third-party deployment**: see [Legal and compliance](/docs/third-party/claude-desktop/legal). The HIPAA configuration doesn't apply to [Claude Desktop on third-party platforms](/docs/third-party/claude-desktop/overview)
21* **Administrators of a third-party deployment**: see [Legal and compliance](/docs/third-party/claude-desktop/legal.md). The HIPAA configuration doesn't apply to [Claude Desktop on third-party platforms](/docs/third-party/claude-desktop/overview.md)
2222 
2323The table shows when to do each part of the setup:
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6262 
6363### Deploy the Claude Desktop policy
6464 
65A Claude Desktop policy is a set of settings that your device management tool installs on each computer, as a configuration profile on macOS or as registry values on Windows. You can use one to restrict sign-in to your organization, turn off local MCP servers and desktop extensions, and keep session content out of [Cowork monitoring](/docs/cowork/monitoring) events.
65A Claude Desktop policy is a set of settings that your device management tool installs on each computer, as a configuration profile on macOS or as registry values on Windows. You can use one to restrict sign-in to your organization, turn off local MCP servers and desktop extensions, and keep session content out of [Cowork monitoring](/docs/cowork/monitoring.md) events.
6666 
6767The policy in this section is a sample that we recommend as a starting point. Your organization is responsible for deciding what its own environment needs and for confirming that its configuration meets those needs.
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9797"otlpContentCapture"="[]"
9898```
9999 
100The sample writes every value as a string, including `false` and `[]`. [Value types](/docs/third-party/claude-desktop/configuration#value-types) lists the other encodings Claude Desktop accepts.
100The sample writes every value as a string, including `false` and `[]`. [Value types](/docs/third-party/claude-desktop/configuration.md#value-types) lists the other encodings Claude Desktop accepts.
101101 
102102> [!NOTE]
103103>
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105105 
106106#### What each Claude Desktop key does
107107 
108The table shows what to set each key to and what Claude Desktop enforces for it. The key names link to the [configuration reference](/docs/third-party/claude-desktop/configuration), which describes third-party deployments. Some of its keys apply only to third-party deployments, such as `coworkEgressAllowedHosts` and `otlpEndpoint`.
108The table shows what to set each key to and what Claude Desktop enforces for it. The key names link to the [configuration reference](/docs/third-party/claude-desktop/configuration.md), which describes third-party deployments. Some of its keys apply only to third-party deployments, such as `coworkEgressAllowedHosts` and `otlpEndpoint`.
109109 
110110| Key | Value | What Claude Desktop enforces |
111111| :- | :- | :- |
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132132| `isLocalDevMcpEnabled` | Open **Settings** in Claude Desktop. The list of entries has no **Developer** entry |
133133| `isDesktopExtensionEnabled` | Open **Settings** in Claude Desktop. The list of entries has no **Extensions** entry |
134134| `forceLoginOrgUUID` | Sign in with an account that isn't in your organization. Claude Desktop shows "This account is not approved by your enterprise admin" |
135| `otlpContentCapture` | Run a Cowork task and read the events your [Cowork monitoring](/docs/cowork/monitoring) collector receives. They contain no prompt text, model responses, or tool inputs |
135| `otlpContentCapture` | Run a Cowork task and read the events your [Cowork monitoring](/docs/cowork/monitoring.md) collector receives. They contain no prompt text, model responses, or tool inputs |
136136 
137137### Check which Claude Code managed settings apply in Cowork
138138 
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168168 
169169To restrict which hosts the VM reaches, you can ask an Owner to go to [**Organization settings > Capabilities**](https://claude.ai/admin-settings/capabilities) and turn off the **Allow network egress** toggle under **Code execution**. Turning the toggle off has these effects:
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171* **Cowork**: the VM reaches only `anthropic.com` and `claude.com` hosts, plus your OpenTelemetry collector if [Cowork monitoring](/docs/cowork/monitoring) is set up
171* **Cowork**: the VM reaches only `anthropic.com` and `claude.com` hosts, plus your OpenTelemetry collector if [Cowork monitoring](/docs/cowork/monitoring.md) is set up
172172* **Chat**: the toggle also applies to code execution in chat
173173* **[Web search](#turn-off-web-search-in-cowork) and connectors**: neither goes through the VM, so the toggle doesn't limit them
174174 
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229229 
230230**4. Check your monitoring events**
231231 
232If your organization uses [Cowork monitoring](/docs/cowork/monitoring), run a Cowork task. Confirm that the events your collector receives contain no prompt text, model responses, or tool inputs.
232If your organization uses [Cowork monitoring](/docs/cowork/monitoring.md), run a Cowork task. Confirm that the events your collector receives contain no prompt text, model responses, or tool inputs.
233233 
234234The [HIPAA feature availability table](https://support.claude.com/en/articles/8114513-business-associate-agreements-baa-for-commercial-customers) lists which Cowork features are off with the HIPAA configuration applied, and which ones an Owner can turn back on.
235235 
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314314## Related resources
315315 
316316* [Set up Claude Code (local mode) for a HIPAA-ready organization](https://code.claude.com/docs/en/hipaa-setup)
317* [Cowork monitoring](/docs/cowork/monitoring)
317* [Cowork monitoring](/docs/cowork/monitoring.md)
318318* [Claude Code managed settings](https://code.claude.com/docs/en/managed-settings)
319319 
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