Generative artificial intelligence (GenAI) is creating both opportunities and significant risks for credentialing organizations, especially those seeking to obtain or maintain accreditation. While AI tools can accelerate item writing and editorial workflows, they also introduce new threats to item quality, content validity, intellectual property, and test security. This session examines the unique pressures GenAI places on accredited organizations, including risks of item cloning, construct drift, over-reliance on AI-generated content, and exposure of secure materials. The session will explore governance models, SME training strategies, psychometric safeguards, and AI-resilient item design principles to manage these risks. Attendees will leave with actionable guidance to modernize their item development practices while maintaining compliance with accreditation standards and preserving the validity and integrity of credentialing exams in an AI-augmented environment.