If you have not already, it is that time of year to review the new CARF manual and implement changes before July 1, 2026.

This year’s updates focus mainly on clarifications, reorganization, and a few targeted additions—not widespread new requirements. Section 1 includes notable changes related to cultural competency, diversity plan, technology, artificial intelligence, performance improvement, and the rights of persons served. Section 2 includes smaller, program-specific updates. Most changes reflect reorganization of existing expectations across sections, with limited new documentation requirements. Unchanged content was not carried forward into this guide. ARC LLC recommendations and organization-specific comments are included below.

This document includes guidance for the following CARF Sections/Manuals:

1. Section 1. ASPIRE to Excellence® (applies to all CARF Manuals) – page 2
2. Section 2. General Program Standards

• Behavioral Health Standards Manual – page 6
• Child and Youth Services Manual – page 8
• Employment and Community Services Manual – page 9

Please let us know if you have any questions or would like support implementing these changes. As a reminder, it is always a good practice to review the standards annually to confirm that all required reviews, checks, and drills have been completed.

HERE is a link to upload. 

Updated 2026 policies, procedures, and tools are available for purchase at https://www.accrediready.org/.