Key Steps to CAAS Accreditation

A Clear Pathway from Self-Assessment to Accreditation

CAAS accreditation is a structured, supported process designed to help agencies evaluate performance, strengthen systems, and demonstrate compliance through independent review. The steps below outline what to expect from start to finish.

Step 1: Confirm Readiness and Assign an Accreditation Lead

Accreditation is a team effort, but it requires a point person to coordinate preparation and communication.

  • Designate a CAAS Accreditation Lead
  • Review the CAAS Standards and applicable service requirements
  • Establish an internal timeline and documentation plan
  • Identify key contributors across leadership, clinical, and operational areas

Outcome: Roles are clear, preparation is organized, and accountability is established.

Step 2: Conduct a Standards-Based Self-Assessment

A successful submission begins with a disciplined self-review against the current CAAS Standards.

  • Compare policies, procedures, and practices to each standard
  • Identify gaps or inconsistencies
  • Prioritize improvements affecting safety, quality, and accountability
  • Document evidence of compliance as you prepare materials

Outcome: A clear understanding of compliance status and preparation priorities.

Step 3: Prepare Documentation and Complete the Application

Your submission should demonstrate compliance clearly, consistently, and efficiently.

  • Governance and administrative documentation
  • Clinical oversight and performance improvement materials
  • Operations, safety, and risk management documentation
  • Vehicle, facility, and equipment documentation (as applicable)

Outcome: A complete, organized submission aligned with the CAAS Standards.

Step 4: Off-Site Review (Document Review)

CAAS begins the evaluation with an off-site review to assess documentation and readiness.

  • CAAS Staff Reviewers evaluate submitted materials against the standards
  • Clarifying questions or requests for additional information may be issued
  • Agencies respond with updates or clarifications as needed

Outcome: Confirmation of completeness and readiness for on-site evaluation.

Step 5: On-Site Review (Evaluation Visit)

The on-site evaluation verifies that documented practices are implemented consistently in real-world operations.

  • Interviews with leadership, staff, and clinical personnel
  • Review of operational systems and quality processes
  • Observation of facilities, fleet, equipment, and readiness (as applicable)
  • Confirmation that policies align with practice

Outcome: Findings are documented for accreditation review and decision-making.

Step 6: Accreditation Decision

Following completion of the off-site and on-site reviews, the accreditation record is forwarded for final consideration.

The Panel of Commissioners, an independent three-member panel, reviews the final submission and evaluation findings and makes the final determination regarding accreditation status.

Outcome: Your agency receives an official accreditation decision, along with any required follow-up actions or recommendations.

Step 7: Maintain Accreditation and Prepare for Renewal

Accreditation is not a one-time milestone. It is an ongoing commitment to organizational excellence.

  • Maintain compliance with applicable standards
  • Keep documentation current
  • Continue performance improvement activities
  • Prepare early for reaccreditation

Outcome: Sustained readiness and continuous improvement.

Ready to Start?

CAAS provides standards, application tools, and education resources to help agencies move forward confidently.

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