After its initial receipt, a program’s accreditation is reaffirmed every 8 years. The five steps in reaffirming a program’s accreditation are completing an eligibility application; setting up a site visit; writing and submitting the self-study; the COA letter of instructions to the site visitor(s), conducting a site visit, and responding to its report; and the COA review to determine if the program’s accreditation will be reaffirmed.