The Community Health Accreditation Program, Inc. (CHAP) is an independent, non-profit accrediting body.  It was the first accrediting body for community-based health care organizations in the United States and was created in 1965 as a joint venture between the American Public Health Association (APHA) and the National League for Nursing (NLN).  These organizations brought to fruition the futuristic view that accreditation was the needed mechanism for recognizing excellence in community health practice.  In 1988, CHAP became a separately incorporated, non-profit subsidiary of the NLN under the CHAP name.  In 2001, it was spun-off by the NLN and became an independent, non-profit corporation.

Because CHAP was granted "deeming authority" from the Centers for Medicare and Medicaid Services (CMS) for home health in 1992 and hospice in 1999, CHAP now has the regulatory authorization to survey agencies providing these services to determine whether they meet the Medicare Conditions of Participation (COPs). This marks a change from the previously used state surveys. In 2006, CMS granted CHAP full deeming authority for Home Medical Equipment (HME).  

CHAP 2014 Strategic Framework

2014 Strategic Framework:

In 2014, CHAP introduced its new Strategic Framework, which reinforces CHAP's commitment to continuously improving services and focuses on key enhancements that allow the organization to become an even more visible and influential partner in accreditation, research and education.

Click here to download the 2014 Strategic Framework as a PDF.


CHAP defines, verifies and advances the highest quality of home and community-based care through its standards, accreditation, education and research.


CHAP will be the standard bearer for excellence in health outcomes, person-centered care and the health of the community.


CHAP accredits the following programs and services:

  • Home Health (deemed and non-deemed)
  • Hospice (deemed and non-deemed)
  • Home Medical Equipment
  • Pharmacy
  • Private Duty
  • Infusion Therapy Nursing
  • Public Health
  • Community Nursing Centers
  • Supplemental Staffing Services

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