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CARF accreditation requires that an organization must implement and use the standards in its programs for at least 6 months prior to the survey. During this When a service or program is CARF accredited, it means it has undergone an in-depth review of its services and demonstrated substantial conformance to the CARF Steps to accreditation ; 1. Consult with a designated CARF resource specialist ; 2. Conduct a self-evaluation ; 3. Submit the survey application ; 4. CARF invoices In 2003, CARF adopted a single set of business practice standards for all organizations that are CARF accredited. These include all the standards in Section Penn Medicine Princeton Medical Center is required to submit a post-survey Quality Improvement Plan (QIP) to CARF that addresses all recommendations identifiedQuality standards form the cornerstone of CARF accreditation. CARF standards have been recognized as a roadmap for future quality practices.