The Commission on Accreditation for Rehabilitation Facilities (CARF) will be at Elm City Center on July 10 –July 12, 2019 for our national accreditation review. We have followed the CARF certification a basic criteria since it was first required by the state of Illinois over 30 years ago. DHS/DDD no longer requires national accreditation, but DHS/DMH does. CARF will be here for our DMH funded Support Services so we might as well review the entire organization because it costs the same. We will have a blended Behavior Health and Community Employment Services review. The process will cover our day programs, vocational services, employment, residential settings, and all the administrative processes. The reviewers will be from North Carolina and Pennsylvania. They will be visiting our facilities and talking with a variety of people involved with our operation. We have been going over the 2019 manuals and we should be ready. Providing a high quality program is important. The standards for services change over time and we need to keep up with new idea. Elm City today is similar yet different from the Elm City of 25 years ago. As managed care, value based reimbursement, and pushes to more community integration become common, we need to keep up. CARF and the various state reviews we have every year provide a recognized structure from peer organization to show where quality is going.