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Frequently Asked Questions

Updated January 2022


Q: How does it work?

A: Beginning January 1, 2021, applicants pursuing their initial or renewal application for Pathway to Excellence® designation will receive one invoice when their scheduled document is submitted.

This invoice includes:

  • Appraisal (including interim monitoring) review
  • Appraiser fees

Once the appraisal review is complete, the Commission on Pathway to Excellence will conduct its normal process of monthly decisions.

When an organization is successfully designated, the balance of fees is invoiced in three installments over the four-year designation term:

  • The Pathway Program Office will send an invoice at the first-, second- and third-year anniversary of designation (see fee schedule example below).



April 2022 submission with successful designation, 75 licensed beds

Submission of Pathway Applicant Registration (no invoice) $3,750

Appraisal Review and Payments
Appraisal Fee Document Submission: April 2022
Decision Notification: Approximately November 2022
Annual Payment, Year 1* Anniversary Year 1: November 2023 $4,792
Annual Payment, Year 2* Anniversary Year 2: November 2024 $4,792
Annual Payment, Year 3* Anniversary Year 3: November 2025 $4,792
TOTAL* $28,750
Pathway Applicant Registration Eight months before November 2026 (no invoice); paid separately See Pathway to Excellence Program Fees for current information
Appraisal Review Fee for Redesignation Redesignation: Document Submission by November 2026

*N/A if not designated


Invoice payment must be received before decision notification.

NOTE: The new fee structure does not include or apply to the single entity application fee, extension fee (if requested), and re-administration of survey fee. Those fees, as applicable, continue to be invoiced at the time of request and is in addition to the appraisal and support fees outlined herein.

Q: What is the new fee model, effective January 1, 2021?

A: Payment Model Fee** Schedule (2022 fees are unchanged)

Ambulatory applicants: Fees are charged accordinig to the number of visits and additional branches. Please contact for further fee information.

Q: My organization’s written documentation is due in 2023. Will we follow the same fee structure?

A: Yes. The effective date of the new fee structure was January 1, 2021. All applicants submitting documents after the effective date will follow the invoicing model. Your organization will receive one ANCC invoice, at time of scheduled submission of your written documentation. If successfully designated, you will receive an invoice annually on the anniversary month, in three installments.

Q: What happens if we receive approval for an extension of our written documentation submission date?

A: You will receive an invoice for the extension fee. Your appraisal fee invoice will be rescheduled for the month of your new submission date.

Q: What happens if we are unsuccessful during the appraisal review? Do we owe additional fees?

A: No. Organizations who are unsuccessful are not obligated the remaining year 1, 2, and 3 anniversary payments.

Q: What happens if we do not pursue the next designation?

A: Pathway-designated organizations must maintain all aspects of program requirements to retain the designation. This includes payment of all fees during the term of designation. If for any reason the designated organization does not fulfill program requirements, actions may be taken, up to and including revocation.



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