[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"skill-twilio-twilio-security-compliance-hipaa":3,"mdc--r9yjym-key":33,"related-org-twilio-twilio-security-compliance-hipaa":979,"related-repo-twilio-twilio-security-compliance-hipaa":1156},{"slug":4,"name":4,"fn":5,"description":6,"org":7,"tags":11,"stars":23,"repoUrl":24,"updatedAt":25,"license":26,"forks":27,"topics":28,"repo":29,"sourceUrl":31,"mdContent":32},"twilio-security-compliance-hipaa","configure Twilio accounts for HIPAA compliance","Configure Twilio accounts for HIPAA compliance. Covers BAA requirements, HIPAA Project designation (self-service and support), eligible services list, per-product requirements (Voice, SMS, ConversationRelay, Conversation Intelligence, Flex, Verify), message redaction, and what is NOT eligible. Use this skill when developers are building healthcare workflows on Twilio.\n",{"slug":8,"name":9,"logoUrl":10,"githubOrg":8},"twilio","Twilio","https:\u002F\u002Fpexgzepcugksgbtrxkhf.supabase.co\u002Fstorage\u002Fv1\u002Fobject\u002Fpublic\u002Forg-logos\u002Ftwilio.png",[12,16,19,22],{"name":13,"slug":14,"type":15},"Security","security","tag",{"name":17,"slug":18,"type":15},"Compliance","compliance",{"name":20,"slug":21,"type":15},"Healthcare","healthcare",{"name":9,"slug":8,"type":15},25,"https:\u002F\u002Fgithub.com\u002Ftwilio\u002Fai","2026-07-17T06:07:18.537617",null,7,[],{"repoUrl":24,"stars":23,"forks":27,"topics":30,"description":26},[],"https:\u002F\u002Fgithub.com\u002Ftwilio\u002Fai\u002Ftree\u002FHEAD\u002Fskills\u002Ftwilio\u002Ftwilio-security-compliance-hipaa","---\nname: twilio-security-compliance-hipaa\ndescription: >\n  Configure Twilio accounts for HIPAA compliance. Covers BAA requirements,\n  HIPAA Project designation (self-service and support), eligible services\n  list, per-product requirements (Voice, SMS, ConversationRelay, Conversation Intelligence,\n  Flex, Verify), message redaction, and what is NOT eligible. Use this\n  skill when developers are building healthcare workflows on Twilio.\n---\n\n## Overview\n\nHIPAA compliance on Twilio is a **shared responsibility** — Twilio provides eligible services and configuration tools, but your application must architect correctly. Getting this wrong means PHI exposure and compliance violations.\n\n**Sequence:** Execute BAA → Designate HIPAA Project(s) → Use only eligible services → Follow per-product requirements\n\n---\n\n## Step 1: Execute a BAA\n\n- Contact your Twilio Account Representative to execute a Business Associate Addendum\n- Purchase a **Twilio Editions package** that includes HIPAA Accounts\n- BAA is required before any PHI touches Twilio infrastructure\n\n---\n\n## Step 2: Designate HIPAA Project(s)\n\n### Self-Service (BAA initiated after June 6, 2024)\n\n1. Create an Organization in Twilio Console\n2. Link accounts\u002Fprojects\u002Fsubaccounts to the Organization\n3. Console → Twilio Admin → Accounts → Select account → Enable HIPAA flag\n4. Save\n\n### Support Ticket (BAA initiated before June 6, 2024)\n\nOpen a Support ticket through Console to request HIPAA designation for specific accounts\u002Fprojects\u002Fsubaccounts.\n\n### Subaccount Behavior\n\n- **Existing subaccounts are NOT auto-designated** — Must be individually flagged\n- **New subaccounts created AFTER designation DO auto-inherit** HIPAA status\n- Verify each subaccount's HIPAA flag — don't assume inheritance\n\n### What Changes When HIPAA Is Enabled\n\n- Console auto-logoff after 15 minutes of inactivity\n- Account exempt from certain content moderation (but still subject to carrier complaint review)\n- No PHI in support tickets — use SIDs (CallSid, MessageSid) instead of phone numbers\n\n---\n\n## HIPAA Eligible Services\n\n### Eligible (use these for PHI workflows)\n\n| Category | Services |\n|----------|----------|\n| **Voice** | Programmable Voice, Recordings*, Transcription*, Media Streams*, ConversationRelay*, Conversational Intelligence for Voice*, SIP Interface*, Elastic SIP Trunking*, Voice Insights, AMD, `\u003CPay>`, Conference, Coaching, Transfers |\n| **SMS** | Programmable SMS, MMS, Long Codes, Toll-Free, Short Codes, Messaging Services (opt-out, fallback, geomatch, sticky sender, scheduling, link shortening) |\n| **Identity** | Verify (SMS + Voice + Push only), Lookup |\n| **Conversations** | Chat, SMS, MMS, Group Texting (NOT WhatsApp) |\n| **Flex** | Voice, SMS, Chat, Conversations, Webchat 3.x.x*, TaskRouter, Proxy, Flex Insights* |\n| **Segment** | Connections (Sources, Destinations*, Functions*), Reverse ETL*, Unify, Engage Foundations*, Protocols, Privacy Portal* |\n| **Runtime** | Studio*, Functions, Debugger, API Explorer, Sync, Private Assets*, TwiML Bin* |\n| **Data** | Event Streams |\n\n*Items marked with * require additional configuration per \"Architecting for HIPAA on Twilio\" guidance.*\n\n### NOT Eligible (do NOT use for PHI)\n\n- **WhatsApp** — Meta does not offer a BAA\n- **SendGrid Email** (including Email in Flex and Verify Email channel)\n- **AI Assistants** (including Voice for AI Assistants)\n- **Verify Fraud Guard**\n- **Conversational Intelligence for Conversations** (only Voice channel is eligible)\n- **Agent Copilot**, **Unified Profiles** in Flex\n- **Engage Premier**, **Generative Audiences**, **Campaigns**\n- **Twilio Marketplace add-ons** — even with third-party BAA\n- **Autopilot**\n- **Flex Webchat 2.x.x** (must migrate to 3.x.x)\n\n**Geographic restriction:** Only US area codes for Voice and SMS HIPAA traffic.\n\n---\n\n## Per-Product Requirements\n\n### Voice & Recordings\n\n- **HTTP auth required for recording URLs** — Enable in Console → Voice Settings. Recording URLs are public by default.\n- **Voice Recording Encryption recommended** — Encrypts with your public key before cloud storage\n- **ConversationRelay:** Your AI Provider must have their own BAA. Cannot use for clinical\u002Fmedical decision-making.\n- **Conversation Intelligence for Voice:** Only Azure OpenAI for generative operators. No PHI in operator prompts. Data use auto-disabled for HIPAA accounts. PII Redaction recommended (auto-redacts 21 PHI field types).\n\n### SMS & MMS\n\n- **HTTP auth required for MMS Media URLs** — Enable in Console → Messaging → Settings → General\n- **Message Redaction recommended** — Redacts message bodies and phone numbers from Console\u002FAPI\u002Fsupport\n- **No PHI in Message Tags** — custom attributes in Message Tagging must not contain PHI\n- **Message Redaction prerequisites:**\n  1. Disable Sticky Sender and Fallback to Long Code on Messaging Services\n  2. Contact Support to disable built-in STOP filtering (then implement custom STOP handling)\n  3. Set all webhooks to POST (GET logs params for 7 days, defeating redaction)\n  4. Incompatible with Studio, Flex, and Conversations\n\n### Verify\n\n- **Only SMS, Voice, and Push channels** — Email channel is NOT eligible\n- **Fraud Guard is NOT eligible** — do not enable for HIPAA workflows\n\n### Flex\n\n- **Flex Insights:** Twilio auto-redacts PII from TaskRouter attributes (names, phone, email). Visual waveform and speech metrics disabled.\n- **Customer must:** Ensure no PHI in preserved Attribute fields, Comments, or Assessments. Implement session timeout (Flex has no built-in timeout). Secure Flex Plugins for HIPAA.\n- **No WhatsApp, Facebook Messenger, or SendGrid Email** in Flex HIPAA workflows\n\n### Event Streams\n\n- Customer responsible for HIPAA-compliant sink configuration (e.g., AWS Kinesis requires Amazon's HIPAA architecture)\n- Non-eligible product event types must not process PHI\n\n---\n\n## CANNOT\n\n- **Cannot use WhatsApp for HIPAA workflows** — Meta does not offer a BAA. Applies to all Twilio products (Conversations, Flex, Frontline).\n- **Cannot use SendGrid Email** — Not HIPAA eligible in any context (Verify, Flex, standalone).\n- **Cannot use Verify Fraud Guard or Email channel** — Not eligible. Only SMS, Voice, Push.\n- **Cannot use AI Assistants** — Even with ConversationRelay, AI Assistants integration is not eligible.\n- **Cannot use non-US area codes** — Voice and SMS HIPAA traffic limited to US area codes.\n- **Cannot put PHI in support tickets** — Use SIDs for troubleshooting. Use Console chat, email, or Support Center.\n- **Cannot assume subaccount HIPAA inheritance** — Existing subaccounts must be individually flagged.\n- **Cannot use GET webhooks with Message Redaction** — GET parameters are logged for 7 days.\n- **Cannot use Marketplace add-ons** — Even with a third-party BAA, Marketplace is not eligible.\n- **Cannot use Conversation Intelligence for Conversations** — Only Voice channel is HIPAA eligible.\n\n---\n\n## Next Steps\n\n- **Authentication setup:** `twilio-security-api-auth`\n- **Account structure for HIPAA isolation:** `twilio-account-setup`\n- **Credential security:** `twilio-security-hardening`\n- **Traffic compliance (TCPA, GDPR, PCI):** `twilio-compliance-traffic`\n\n**Official docs:** [HIPAA Eligible Services (PDF)](https:\u002F\u002Fwww.twilio.com\u002Fcontent\u002Fdam\u002Ftwilio-com\u002Fglobal\u002Fen\u002Fother\u002Fhipaa\u002Fpdf\u002FHIPAA-Eligible-Services.pdf) | [Architecting for HIPAA (PDF)](https:\u002F\u002Fwww.twilio.com\u002Fcontent\u002Fdam\u002Ftwilio-com\u002Fglobal\u002Fen\u002Fother\u002Fhipaa\u002Fpdf\u002FArchitecting-for-HIPAA.pdf) | [HIPAA account flag](https:\u002F\u002Fwww.twilio.com\u002Fdocs\u002Fiam\u002Forganizations#turn-on-hipaa-and-eligible-accounts) | [Message Redaction](https:\u002F\u002Fwww.twilio.com\u002Fdocs\u002Fmessaging\u002Fguides\u002Fprivacy-message-redaction)\n",{"data":34,"body":35},{"name":4,"description":6},{"type":36,"children":37},"root",[38,47,61,71,75,81,108,111,117,124,148,154,159,165,193,199,217,220,226,232,397,406,412,528,538,541,547,553,596,602,666,672,695,700,733,738,751,754,760,863,866,872,936],{"type":39,"tag":40,"props":41,"children":43},"element","h2",{"id":42},"overview",[44],{"type":45,"value":46},"text","Overview",{"type":39,"tag":48,"props":49,"children":50},"p",{},[51,53,59],{"type":45,"value":52},"HIPAA compliance on Twilio is a ",{"type":39,"tag":54,"props":55,"children":56},"strong",{},[57],{"type":45,"value":58},"shared responsibility",{"type":45,"value":60}," — Twilio provides eligible services and configuration tools, but your application must architect correctly. 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Recording URLs are public by default.",{"type":39,"tag":86,"props":567,"children":568},{},[569,574],{"type":39,"tag":54,"props":570,"children":571},{},[572],{"type":45,"value":573},"Voice Recording Encryption recommended",{"type":45,"value":575}," — Encrypts with your public key before cloud storage",{"type":39,"tag":86,"props":577,"children":578},{},[579,584],{"type":39,"tag":54,"props":580,"children":581},{},[582],{"type":45,"value":583},"ConversationRelay:",{"type":45,"value":585}," Your AI Provider must have their own BAA. Cannot use for clinical\u002Fmedical decision-making.",{"type":39,"tag":86,"props":587,"children":588},{},[589,594],{"type":39,"tag":54,"props":590,"children":591},{},[592],{"type":45,"value":593},"Conversation Intelligence for Voice:",{"type":45,"value":595}," Only Azure OpenAI for generative operators. No PHI in operator prompts. Data use auto-disabled for HIPAA accounts. PII Redaction recommended (auto-redacts 21 PHI field types).",{"type":39,"tag":118,"props":597,"children":599},{"id":598},"sms-mms",[600],{"type":45,"value":601},"SMS & MMS",{"type":39,"tag":82,"props":603,"children":604},{},[605,615,625,635],{"type":39,"tag":86,"props":606,"children":607},{},[608,613],{"type":39,"tag":54,"props":609,"children":610},{},[611],{"type":45,"value":612},"HTTP auth required for MMS Media URLs",{"type":45,"value":614}," — Enable in Console → Messaging → Settings → General",{"type":39,"tag":86,"props":616,"children":617},{},[618,623],{"type":39,"tag":54,"props":619,"children":620},{},[621],{"type":45,"value":622},"Message Redaction recommended",{"type":45,"value":624}," — Redacts message bodies and phone numbers from Console\u002FAPI\u002Fsupport",{"type":39,"tag":86,"props":626,"children":627},{},[628,633],{"type":39,"tag":54,"props":629,"children":630},{},[631],{"type":45,"value":632},"No PHI in Message Tags",{"type":45,"value":634}," — custom attributes in Message Tagging must not contain PHI",{"type":39,"tag":86,"props":636,"children":637},{},[638,643],{"type":39,"tag":54,"props":639,"children":640},{},[641],{"type":45,"value":642},"Message Redaction prerequisites:",{"type":39,"tag":125,"props":644,"children":645},{},[646,651,656,661],{"type":39,"tag":86,"props":647,"children":648},{},[649],{"type":45,"value":650},"Disable Sticky Sender and Fallback to Long Code on Messaging Services",{"type":39,"tag":86,"props":652,"children":653},{},[654],{"type":45,"value":655},"Contact Support to disable built-in STOP filtering (then implement custom STOP handling)",{"type":39,"tag":86,"props":657,"children":658},{},[659],{"type":45,"value":660},"Set all webhooks to POST (GET logs params for 7 days, defeating redaction)",{"type":39,"tag":86,"props":662,"children":663},{},[664],{"type":45,"value":665},"Incompatible with Studio, Flex, and Conversations",{"type":39,"tag":118,"props":667,"children":669},{"id":668},"verify",[670],{"type":45,"value":671},"Verify",{"type":39,"tag":82,"props":673,"children":674},{},[675,685],{"type":39,"tag":86,"props":676,"children":677},{},[678,683],{"type":39,"tag":54,"props":679,"children":680},{},[681],{"type":45,"value":682},"Only SMS, Voice, and Push channels",{"type":45,"value":684}," — Email channel is NOT eligible",{"type":39,"tag":86,"props":686,"children":687},{},[688,693],{"type":39,"tag":54,"props":689,"children":690},{},[691],{"type":45,"value":692},"Fraud Guard is NOT eligible",{"type":45,"value":694}," — do not enable for HIPAA workflows",{"type":39,"tag":118,"props":696,"children":698},{"id":697},"flex",[699],{"type":45,"value":343},{"type":39,"tag":82,"props":701,"children":702},{},[703,713,723],{"type":39,"tag":86,"props":704,"children":705},{},[706,711],{"type":39,"tag":54,"props":707,"children":708},{},[709],{"type":45,"value":710},"Flex Insights:",{"type":45,"value":712}," Twilio auto-redacts PII from TaskRouter attributes (names, phone, email). Visual waveform and speech metrics disabled.",{"type":39,"tag":86,"props":714,"children":715},{},[716,721],{"type":39,"tag":54,"props":717,"children":718},{},[719],{"type":45,"value":720},"Customer must:",{"type":45,"value":722}," Ensure no PHI in preserved Attribute fields, Comments, or Assessments. Implement session timeout (Flex has no built-in timeout). Secure Flex Plugins for HIPAA.",{"type":39,"tag":86,"props":724,"children":725},{},[726,731],{"type":39,"tag":54,"props":727,"children":728},{},[729],{"type":45,"value":730},"No WhatsApp, Facebook Messenger, or SendGrid Email",{"type":45,"value":732}," in Flex HIPAA workflows",{"type":39,"tag":118,"props":734,"children":736},{"id":735},"event-streams",[737],{"type":45,"value":396},{"type":39,"tag":82,"props":739,"children":740},{},[741,746],{"type":39,"tag":86,"props":742,"children":743},{},[744],{"type":45,"value":745},"Customer responsible for HIPAA-compliant sink configuration (e.g., AWS Kinesis requires Amazon's HIPAA architecture)",{"type":39,"tag":86,"props":747,"children":748},{},[749],{"type":45,"value":750},"Non-eligible product event types must not process PHI",{"type":39,"tag":72,"props":752,"children":753},{},[],{"type":39,"tag":40,"props":755,"children":757},{"id":756},"cannot",[758],{"type":45,"value":759},"CANNOT",{"type":39,"tag":82,"props":761,"children":762},{},[763,773,783,793,803,813,823,833,843,853],{"type":39,"tag":86,"props":764,"children":765},{},[766,771],{"type":39,"tag":54,"props":767,"children":768},{},[769],{"type":45,"value":770},"Cannot use WhatsApp for HIPAA workflows",{"type":45,"value":772}," — Meta does not offer a BAA. Applies to all Twilio products (Conversations, Flex, Frontline).",{"type":39,"tag":86,"props":774,"children":775},{},[776,781],{"type":39,"tag":54,"props":777,"children":778},{},[779],{"type":45,"value":780},"Cannot use SendGrid Email",{"type":45,"value":782}," — Not HIPAA eligible in any context (Verify, Flex, standalone).",{"type":39,"tag":86,"props":784,"children":785},{},[786,791],{"type":39,"tag":54,"props":787,"children":788},{},[789],{"type":45,"value":790},"Cannot use Verify Fraud Guard or Email channel",{"type":45,"value":792}," — Not eligible. Only SMS, Voice, Push.",{"type":39,"tag":86,"props":794,"children":795},{},[796,801],{"type":39,"tag":54,"props":797,"children":798},{},[799],{"type":45,"value":800},"Cannot use AI Assistants",{"type":45,"value":802}," — Even with ConversationRelay, AI Assistants integration is not eligible.",{"type":39,"tag":86,"props":804,"children":805},{},[806,811],{"type":39,"tag":54,"props":807,"children":808},{},[809],{"type":45,"value":810},"Cannot use non-US area codes",{"type":45,"value":812}," — Voice and SMS HIPAA traffic limited to US area codes.",{"type":39,"tag":86,"props":814,"children":815},{},[816,821],{"type":39,"tag":54,"props":817,"children":818},{},[819],{"type":45,"value":820},"Cannot put PHI in support tickets",{"type":45,"value":822}," — Use SIDs for troubleshooting. Use Console chat, email, or Support Center.",{"type":39,"tag":86,"props":824,"children":825},{},[826,831],{"type":39,"tag":54,"props":827,"children":828},{},[829],{"type":45,"value":830},"Cannot assume subaccount HIPAA inheritance",{"type":45,"value":832}," — Existing subaccounts must be individually flagged.",{"type":39,"tag":86,"props":834,"children":835},{},[836,841],{"type":39,"tag":54,"props":837,"children":838},{},[839],{"type":45,"value":840},"Cannot use GET webhooks with Message Redaction",{"type":45,"value":842}," — GET parameters are logged for 7 days.",{"type":39,"tag":86,"props":844,"children":845},{},[846,851],{"type":39,"tag":54,"props":847,"children":848},{},[849],{"type":45,"value":850},"Cannot use Marketplace add-ons",{"type":45,"value":852}," — Even with a third-party BAA, Marketplace is not eligible.",{"type":39,"tag":86,"props":854,"children":855},{},[856,861],{"type":39,"tag":54,"props":857,"children":858},{},[859],{"type":45,"value":860},"Cannot use Conversation Intelligence for Conversations",{"type":45,"value":862}," — Only Voice channel is HIPAA eligible.",{"type":39,"tag":72,"props":864,"children":865},{},[],{"type":39,"tag":40,"props":867,"children":869},{"id":868},"next-steps",[870],{"type":45,"value":871},"Next Steps",{"type":39,"tag":82,"props":873,"children":874},{},[875,891,906,921],{"type":39,"tag":86,"props":876,"children":877},{},[878,883,885],{"type":39,"tag":54,"props":879,"children":880},{},[881],{"type":45,"value":882},"Authentication setup:",{"type":45,"value":884}," ",{"type":39,"tag":277,"props":886,"children":888},{"className":887},[],[889],{"type":45,"value":890},"twilio-security-api-auth",{"type":39,"tag":86,"props":892,"children":893},{},[894,899,900],{"type":39,"tag":54,"props":895,"children":896},{},[897],{"type":45,"value":898},"Account structure for HIPAA isolation:",{"type":45,"value":884},{"type":39,"tag":277,"props":901,"children":903},{"className":902},[],[904],{"type":45,"value":905},"twilio-account-setup",{"type":39,"tag":86,"props":907,"children":908},{},[909,914,915],{"type":39,"tag":54,"props":910,"children":911},{},[912],{"type":45,"value":913},"Credential security:",{"type":45,"value":884},{"type":39,"tag":277,"props":916,"children":918},{"className":917},[],[919],{"type":45,"value":920},"twilio-security-hardening",{"type":39,"tag":86,"props":922,"children":923},{},[924,929,930],{"type":39,"tag":54,"props":925,"children":926},{},[927],{"type":45,"value":928},"Traffic compliance (TCPA, GDPR, PCI):",{"type":45,"value":884},{"type":39,"tag":277,"props":931,"children":933},{"className":932},[],[934],{"type":45,"value":935},"twilio-compliance-traffic",{"type":39,"tag":48,"props":937,"children":938},{},[939,944,945,954,956,963,964,971,972],{"type":39,"tag":54,"props":940,"children":941},{},[942],{"type":45,"value":943},"Official docs:",{"type":45,"value":884},{"type":39,"tag":946,"props":947,"children":951},"a",{"href":948,"rel":949},"https:\u002F\u002Fwww.twilio.com\u002Fcontent\u002Fdam\u002Ftwilio-com\u002Fglobal\u002Fen\u002Fother\u002Fhipaa\u002Fpdf\u002FHIPAA-Eligible-Services.pdf",[950],"nofollow",[952],{"type":45,"value":953},"HIPAA Eligible Services (PDF)",{"type":45,"value":955}," | ",{"type":39,"tag":946,"props":957,"children":960},{"href":958,"rel":959},"https:\u002F\u002Fwww.twilio.com\u002Fcontent\u002Fdam\u002Ftwilio-com\u002Fglobal\u002Fen\u002Fother\u002Fhipaa\u002Fpdf\u002FArchitecting-for-HIPAA.pdf",[950],[961],{"type":45,"value":962},"Architecting for HIPAA (PDF)",{"type":45,"value":955},{"type":39,"tag":946,"props":965,"children":968},{"href":966,"rel":967},"https:\u002F\u002Fwww.twilio.com\u002Fdocs\u002Fiam\u002Forganizations#turn-on-hipaa-and-eligible-accounts",[950],[969],{"type":45,"value":970},"HIPAA account flag",{"type":45,"value":955},{"type":39,"tag":946,"props":973,"children":976},{"href":974,"rel":975},"https:\u002F\u002Fwww.twilio.com\u002Fdocs\u002Fmessaging\u002Fguides\u002Fprivacy-message-redaction",[950],[977],{"type":45,"value":978},"Message Redaction",{"items":980,"total":1155},[981,995,1015,1026,1038,1051,1068,1083,1096,1109,1125,1143],{"slug":905,"name":905,"fn":982,"description":983,"org":984,"tags":985,"stars":23,"repoUrl":24,"updatedAt":994},"configure Twilio accounts and credentials","Create and configure a Twilio account from scratch. Covers free trial signup, trial limitations, getting credentials (Account SID and Auth Token), buying a phone number, verifying recipient numbers for trial use, SDK installation, first API call, subaccount management (creation, inheritance, credential isolation, limits), and enabling specific products (AI Assistants, Conversations, Verify, ConversationRelay, WhatsApp). Use this skill before any other Twilio skill if you do not yet have a Twilio account or need to enable a product. For Organization-level governance (SSO, SCIM, multi-team), see `twilio-organizations-setup`.\n",{"slug":8,"name":9,"logoUrl":10,"githubOrg":8},[986,989,992],{"name":987,"slug":988,"type":15},"API Development","api-development",{"name":990,"slug":991,"type":15},"Communications","communications",{"name":295,"slug":993,"type":15},"sms","2026-08-01T05:43:28.968968",{"slug":996,"name":996,"fn":997,"description":998,"org":999,"tags":1000,"stars":23,"repoUrl":24,"updatedAt":1014},"twilio-agent-augmentation-architect","augment human agents with AI intelligence","Planning skill for augmenting human agents with real-time AI intelligence. Qualifies the developer's use case across coaching, compliance, QA, and routing to recommend the right Conversation Intelligence + Conversation Memory + TaskRouter architecture. Handles both \"I want to add AI coaching to my call center\" and \"configure Conversation Intelligence operators for script adherence.\"\n",{"slug":8,"name":9,"logoUrl":10,"githubOrg":8},[1001,1004,1007,1010,1013],{"name":1002,"slug":1003,"type":15},"Agents","agents",{"name":1005,"slug":1006,"type":15},"AI","ai",{"name":1008,"slug":1009,"type":15},"Coaching","coaching",{"name":1011,"slug":1012,"type":15},"QA","qa",{"name":9,"slug":8,"type":15},"2026-07-17T06:07:58.250609",{"slug":1016,"name":1016,"fn":1017,"description":1018,"org":1019,"tags":1020,"stars":23,"repoUrl":24,"updatedAt":1025},"twilio-agent-connect","connect AI agents to Twilio channels","Connect third-party AI agents (OpenAI, Bedrock, LangChain, Microsoft Foundry) to Twilio's communication channels using the Twilio Agent Connect SDK. Covers identity resolution, memory and context management via Conversation Memory, conversation orchestration via Conversation Orchestrator, multi-channel handling (Voice, SMS, RCS, WhatsApp, Chat), and AI-to-human escalation. Use this skill when integrating an existing LLM agent with Twilio services.\n",{"slug":8,"name":9,"logoUrl":10,"githubOrg":8},[1021,1022,1023,1024],{"name":1002,"slug":1003,"type":15},{"name":987,"slug":988,"type":15},{"name":990,"slug":991,"type":15},{"name":9,"slug":8,"type":15},"2026-07-17T06:06:05.217098",{"slug":1027,"name":1027,"fn":1028,"description":1029,"org":1030,"tags":1031,"stars":23,"repoUrl":24,"updatedAt":1037},"twilio-ai-agent-architect","plan Twilio conversational AI agents","Planning skill for AI-powered conversational agents. Qualifies the developer's use case across outcome sophistication, entry point, and customer profile to recommend the right Twilio Conversations architecture and implementation skills. Handles both high-level requests (\"build me a voice AI assistant\") and specific ones (\"integrate ConversationRelay with my OpenAI backend\").\n",{"slug":8,"name":9,"logoUrl":10,"githubOrg":8},[1032,1033,1036],{"name":1002,"slug":1003,"type":15},{"name":1034,"slug":1035,"type":15},"Architecture","architecture",{"name":9,"slug":8,"type":15},"2026-07-17T06:07:48.883723",{"slug":1039,"name":1039,"fn":1040,"description":1041,"org":1042,"tags":1043,"stars":23,"repoUrl":24,"updatedAt":1050},"twilio-call-recordings","record and manage Twilio voice calls","Record Twilio voice calls correctly. Covers the critical distinction between Record verb (voicemail) and Dial record (call recording), dual-channel for QA, mid-call pause for PCI, Conference recording, and the ConversationRelay workaround. Use this skill whenever you need to capture call audio for compliance, QA, or analytics.\n",{"slug":8,"name":9,"logoUrl":10,"githubOrg":8},[1044,1047,1048,1049],{"name":1045,"slug":1046,"type":15},"Audio","audio",{"name":17,"slug":18,"type":15},{"name":1011,"slug":1012,"type":15},{"name":9,"slug":8,"type":15},"2026-07-17T06:07:55.268412",{"slug":1052,"name":1052,"fn":1053,"description":1054,"org":1055,"tags":1056,"stars":23,"repoUrl":24,"updatedAt":1067},"twilio-cli-reference","manage Twilio resources via CLI","Twilio CLI reference for managing Twilio resources from the terminal. Covers installation, credential profiles, phone number provisioning, sending SMS and email, webhook configuration, local development with a tunneling service, debugging with watch and logs, serverless deployment, and plugin ecosystem. Use when the developer asks to \"just do it\", \"set this up\", \"run a command\", mentions \"CLI\", \"command line\", or \"terminal\", or when an AI agent can execute a task directly instead of writing application code.\n",{"slug":8,"name":9,"logoUrl":10,"githubOrg":8},[1057,1060,1063,1066],{"name":1058,"slug":1059,"type":15},"CLI","cli",{"name":1061,"slug":1062,"type":15},"Local Development","local-development",{"name":1064,"slug":1065,"type":15},"Operations","operations",{"name":9,"slug":8,"type":15},"2026-07-17T06:07:54.925664",{"slug":1069,"name":1069,"fn":1070,"description":1071,"org":1072,"tags":1073,"stars":23,"repoUrl":24,"updatedAt":1082},"twilio-compliance-onboarding","manage Twilio messaging and voice compliance","Registrations required BEFORE Twilio traffic works. Covers messaging programs (A2P 10DLC, toll-free verification, WhatsApp WABA, RCS, short code, alphanumeric sender) and voice trust programs (STIR\u002FSHAKEN, Voice Integrity, Branded Calling, CNAM). Each number\u002Fsender type has its own program — registration blocks traffic until complete.\n",{"slug":8,"name":9,"logoUrl":10,"githubOrg":8},[1074,1075,1078,1079,1080],{"name":17,"slug":18,"type":15},{"name":1076,"slug":1077,"type":15},"Messaging","messaging",{"name":295,"slug":993,"type":15},{"name":9,"slug":8,"type":15},{"name":422,"slug":1081,"type":15},"whatsapp","2026-07-17T06:05:47.897229",{"slug":935,"name":935,"fn":1084,"description":1085,"org":1086,"tags":1087,"stars":23,"repoUrl":24,"updatedAt":1095},"ensure compliance for Twilio messaging traffic","Rules you must follow for Twilio messaging and voice traffic. Covers TCPA (consent tiers, quiet hours, DNC), GDPR (EU consent, right to deletion), PCI DSS (payment recording, Pay verb), HIPAA (BAA, PHI), FDCPA (debt collection limits), CAN-SPAM, WhatsApp policies, SHAKEN\u002FSTIR, and consent management patterns. Use this skill proactively when developers have working traffic to ensure they follow the rules.\n",{"slug":8,"name":9,"logoUrl":10,"githubOrg":8},[1088,1089,1090,1093,1094],{"name":17,"slug":18,"type":15},{"name":1076,"slug":1077,"type":15},{"name":1091,"slug":1092,"type":15},"Regulatory Compliance","regulatory-compliance",{"name":13,"slug":14,"type":15},{"name":9,"slug":8,"type":15},"2026-07-17T06:07:55.952779",{"slug":1097,"name":1097,"fn":1098,"description":1099,"org":1100,"tags":1101,"stars":23,"repoUrl":24,"updatedAt":1108},"twilio-conference-calls","build multi-party calls with Twilio Conference","Build multi-party calls using Twilio Conference. Covers warm transfer, cold transfer, coaching (whisper), hold vs mute, participant modes, and supervisor barge. Use this skill for any contact center, support line, or scenario requiring transfers, holds, or multi-party calls.\n",{"slug":8,"name":9,"logoUrl":10,"githubOrg":8},[1102,1103,1104,1107],{"name":1045,"slug":1046,"type":15},{"name":990,"slug":991,"type":15},{"name":1105,"slug":1106,"type":15},"Meetings","meetings",{"name":9,"slug":8,"type":15},"2026-07-17T06:07:55.603708",{"slug":1110,"name":1110,"fn":1111,"description":1112,"org":1113,"tags":1114,"stars":23,"repoUrl":24,"updatedAt":1124},"twilio-content-template-builder","create and send message templates with Twilio","Create, manage, and send message templates using Twilio's Content API. Covers template creation for WhatsApp, SMS, RCS, and MMS; variable usage; WhatsApp Meta approval; and sending templates via ContentSid. Use this skill when building structured messages that require pre-approval or consistent formatting across channels.\n",{"slug":8,"name":9,"logoUrl":10,"githubOrg":8},[1115,1118,1119,1120,1123],{"name":1116,"slug":1117,"type":15},"Email","email",{"name":1076,"slug":1077,"type":15},{"name":295,"slug":993,"type":15},{"name":1121,"slug":1122,"type":15},"Templates","templates",{"name":9,"slug":8,"type":15},"2026-07-17T06:04:26.637309",{"slug":1126,"name":1126,"fn":1127,"description":1128,"org":1129,"tags":1130,"stars":23,"repoUrl":24,"updatedAt":1142},"twilio-conversation-intelligence","build conversation intelligence pipelines","Twilio Conversation Intelligence development guide. Use when building real-time or post-call conversation analysis, language operator pipelines, sentiment analysis, agent assist, cross-channel analytics, or querying aggregated conversation insights (sentiment trends, escalation rates, dashboards).",{"slug":8,"name":9,"logoUrl":10,"githubOrg":8},[1131,1132,1135,1138,1141],{"name":1002,"slug":1003,"type":15},{"name":1133,"slug":1134,"type":15},"Analytics","analytics",{"name":1136,"slug":1137,"type":15},"Monitoring","monitoring",{"name":1139,"slug":1140,"type":15},"NLP","nlp",{"name":9,"slug":8,"type":15},"2026-07-17T06:07:52.545387",{"slug":1144,"name":1144,"fn":1145,"description":1146,"org":1147,"tags":1148,"stars":23,"repoUrl":24,"updatedAt":1154},"twilio-conversation-memory","manage conversation memory with Twilio","Store and retrieve conversation context using Twilio Conversation Memory. Covers Memory Store provisioning, profile management, traits, observations, conversation summaries, and semantic Recall. 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