Legal identity or ownership
Name change, merger, acquisition, asset sale, parent-company change, succession or a different legal entity.
Accreditation lifecycle · Controlled case routing
Something changed. Here is the right CHSPS route.
Mergers, ownership changes, scope moves, deadline problems, sensitive evidence, billing delays and urgent protective actions should not be handled by guesswork. Report the event, identify the affected record, and wait for the written CHSPS disposition before changing accreditation claims or assuming a waiver.
Reporting a situation does not itself change accredited status, approved scope, a deadline, or mark rights. The applicable controlled standard, agreement or procedure governs until CHSPS records a disposition.
Fast classification
Which kind of situation do you have?
Start with the event, not with the form you think you need. CHSPS classifies the case against the affected application, accreditation or defined-offering record.
Accredited scope or program
Expansion, reduction, movement of a program, new delivery model, new system, new site or change to what the public record covers.
People or governance
Leadership, decision authority, governance or other personnel changes that may affect the accredited control system.
Deadline or renewal
Extension request, late filing, renewal timing, expiration, reinstatement or a portfolio in which only some scopes will renew.
Evidence or confidentiality
Sensitive evidence, secure assessment content, unavailable records, third-party access constraints or an alternative evidence route.
Billing or payer
Purchase-order delay, centralized payer, shared-services billing or a need to reroute invoices without changing applicant identity.
Urgent protective action
A change needed immediately to protect candidates, learners, patients, workers or the public.
Application pause or withdrawal
A paused application, voluntary withdrawal, reduced proposed scope, preserved evidence history or later resumption/reapplication.
Situation playbooks
What to report, what CHSPS decides, and what not to assume
These are routing guides. They do not create a waiver, transfer accreditation, extend a term or replace the controlled procedure.
Name, merger, ownership or control change
When to report
As soon as the facts and proposed/effective date are known; before implementation when the change could affect conformity or the accredited relationship.
What to do now
Identify the current legal entity, proposed/new entity, transaction type, effective date and every affected CHSPS record.
CHSPS determines
Whether the matter is an administrative profile update, material change, transfer/succession issue, focused review or a new applicant relationship.
Do not assume: Accreditation follows a brand, asset sale, parent company or successor automatically.
Open the affected record →Program, site or accredited scope is changing
When to report
Before implementing a material scope expansion, transfer, operating-model change or other change that could affect conformity.
What to do now
Describe the current approved scope, the proposed scope, what is moving or changing and the proposed effective date.
CHSPS determines
Whether the existing scope can be updated administratively, requires focused review, full re-review, separate application or a public scope reduction.
Do not assume: You may advertise the expanded or transferred scope before CHSPS records it.
Material change rules →Leadership or governance change
When to report
Use the annual report for ordinary minor changes; contact CHSPS sooner when the change may materially affect conformity, authority, independence or the accredited control model.
What to do now
Identify the role, outgoing/incoming responsibility, effective date and any interim control arrangements.
CHSPS determines
Whether the change is routine annual-report information or requires earlier material-change review.
Do not assume: Every staffing change requires a separate review, or that a critical governance change can wait until the anniversary report.
Maintenance obligations →Pause, withdrawal or proposed-scope reduction
When to report
Before deadlines are missed or work is abandoned when possible.
What to do now
State whether you want to pause, withdraw or reduce proposed scope and identify any active review, evidence, invoice or deadline.
CHSPS determines
How the application history is preserved and what happens to submitted evidence, fees, deadlines and any later resumption or reapplication.
Do not assume: A pause automatically stops every deadline, preserves pricing indefinitely or guarantees later resumption at the same stage.
Open My CHSPS →Deadline, late renewal or expiration problem
When to report
Contact CHSPS before the due date whenever possible. Renewal rules distinguish timely, late, expired and reinstatement states.
What to do now
Identify the exact deadline, reason, affected record and the date you can reasonably complete the requirement.
CHSPS determines
Whether the governing procedure permits an extension, expedited handling, reinstatement route or requires a different filing path.
Do not assume: There is an automatic grace period, that a late fee buys more accreditation time, or that status continues after expiration without a written basis.
Expiration & reinstatement rules →Sensitive, secure or unavailable evidence
When to report
Before transmitting material through an uncontrolled channel or when a reviewer request cannot be answered in the normal workspace.
What to do now
Explain what requirement the evidence supports, why normal submission is inappropriate or impossible, and what equivalent evidence or controlled access may be available.
CHSPS determines
The approved secure handling route, whether equivalent evidence is sufficient, or whether a targeted alternative review method is needed.
Do not assume: Ordinary email is an acceptable substitute for the secure workspace, or that missing evidence is automatically waived.
Evidence preparation guide →Payment, purchase order or authorized payer delay
When to report
As soon as the delay could affect an invoice deadline or engagement milestone.
What to do now
Identify the invoice/engagement, payer contact, PO status and whether a centralized payer should receive the invoice.
CHSPS determines
Whether billing can be rerouted or an administrative payment arrangement is available without changing the applicant/accredited legal entity.
Do not assume: Changing the payer changes the accredited organization, or that technical reviewers need commercial purchase history.
Fees & payment →Immediate protective action
When to report
Protect candidates, learners, patients, workers or the public first when immediate action is necessary. For accreditation maintenance, ACC-109 permits the protective change to precede notification and requires follow-up notification within 5 business days.
What to do now
Preserve the incident/change record, what risk required immediate action, what changed, who authorized it and the effective time/date.
CHSPS determines
Whether the change can remain as implemented, needs focused review, requires further evidence or changes the approved scope/record.
Do not assume: Urgency eliminates the requirement to notify CHSPS or document the reason for the change.
Emergency-change rule →Partial renewal, non-renewed scope or portfolio restructuring
When to report
Before renewal deadlines or public-status changes for the affected scope.
What to do now
Identify each accreditation/defined offering, which scopes continue, which will not renew or will be withdrawn, and which legal entity owns each record.
CHSPS determines
The separate renewal, withdrawal, scope and public-record treatment for each record while preserving portfolio-level administration where appropriate.
Do not assume: One program decision automatically changes every accreditation held by the organization.
Multi-program & portfolio guidance →What CHSPS needs
Give enough context to route the case without creating another investigation
A concise, complete first report lets CHSPS identify the governing record and ask only the follow-up questions that matter.
Affected record
Application ID, accreditation, defined offering, program, scope or invoice involved.
What changed
Describe the event or proposed change in plain language, including what is different from the current record.
Effective date
State the proposed date, actual date, transaction closing date or deadline involved.
Legal entity & ownership
Identify which legal entity currently holds or seeks the record and any entity that will replace, acquire or control it.
Immediate risk or impact
Explain whether candidates, learners, patients, workers, evidence integrity or public claims are affected.
Current public claim
Tell CHSPS what name, scope, mark or verification statement is currently being used.
Supporting evidence
Provide controlled documents through the approved route; do not send passwords, secrets or unnecessary sensitive information.
Requested outcome
State what you need clarified: routing, timing, scope treatment, billing, evidence handling or another written disposition.
Controlled case routing
A special case should end in a written, traceable disposition
Capture the event, effective date, legal entity and affected records.
Identify the governing standard, agreement or procedure and the correct workflow.
Ask for targeted evidence, approvals or administrative information relevant to the case.
State the route, effective date, required next action and whether status, scope, deadline or public claim changes.
Depending on the governing policy, the written outcome may be:
Administrative/profile updateMaterial-change acknowledgementFocused reviewFull re-review or new applicationTransfer/succession determinationDeadline dispositionSecure evidence routeBilling rerouteScope/public-record update
The list describes possible routing outcomes, not guaranteed results. The exact disposition depends on the controlled record and facts.
What reporting does not do
Do not treat a submitted case as an approval.
- It does not automatically transfer accreditation to a buyer, successor, affiliate or new legal entity.
- It does not automatically expand or move approved scope.
- It does not create a deadline extension or grace period.
- It does not authorize a new public claim, mark use or new accredited name before CHSPS records the treatment.
- It does not waive missing evidence merely because normal submission is difficult.
- It does not erase the historical accreditation or application record.
Immediate safety or integrity issue?
Protect first. Preserve the record. Notify CHSPS through the controlled route.
ACC-109 allows an emergency change needed to protect candidates or the public to be implemented before notification; notification must follow within 5 business days. The special-situations route does not replace any faster incident-reporting obligation that may apply under the specific accreditation standard or engagement.