ACA-CHSA Exam Information and Outline
Certified Health Service Administrator (CHSA)
Syllabus Update Checked on: November 12, 2026
ACA-CHSA Exam Syllabus & Study Guide
Before you start practicing with our exam simulator, it is essential to understand the
official ACA-CHSA exam objectives. This course outline serves as your roadmap.
The information below reflects the 2026 syllabus defined by
ACA.
Below are complete topics detail with latest syllabus and course outline, that will help you good knowledge about exam objectives and topics that you have to prepare. These contents are covered in questions and answers pool of exam.
- Exam Format
- Computer-based multiple-choice examination
- Blueprint built on the National Association of Long Term Care Administrator Boards (NAB) Domains of Practice
- Care, Services and Supports
- Person-centered care planning and resident rights
- Clinical services, quality of life and psychosocial services
- Admission, transfer and discharge
- Infection prevention and emergency preparedness for residents
- Operations
- Human resources: recruitment, training, retention, labor relations
- Financial management: budgeting, reimbursement (Medicare, Medicaid), revenue cycle
- Regulatory compliance (CMS requirements of participation, state regulations)
- Environment and Quality
- Physical plant, safety, life safety code and environmental services
- Quality assurance and performance improvement (QAPI)
- Risk management and survey readiness
- Leadership and Strategy
- Governance, ethics and organizational leadership
- Strategic planning, marketing and community relations
- Change management and stakeholder communication