Continuous Query Recognition Letter - CARF

CARF International

April 14, 2008

Division of Practitioner Data Banks (DPDB)
National Practitioner Data Bank (NPDB)
Parklawn Building, Room 8-103
5600 Fishers Lane
Rockville, MD 20857

Re: Proactive Disclosure Service

Dear Sir or Madam:

We have had the opportunity to consider the effect of the Proactive Disclosure Service (PDS) on conformance with CARF standards. Please be advised that the PDS is one source of data that may be used by providers of medical rehabilitation services as part of a system to address modification or withdrawal of professional privileges.

Please feel free to contact me if you have any questions or wish to discuss further.

Sincerely,

/s/
Darren M. Lehrfeld
Chief Accreditation Officer and General Counsel

CARF USA
4891 East Grant Rd.
Tucson, AZ 85712 USA
Toll-Free/TTY 888 281 6531, Fax 520 318 1129
http://www.carf.org

CARF-CCAC
1730 Rhode Island Ave, NW, Suite 209
Washington, DC 20036 USA
Toll-Free 866 888 1122, Fax 202 587 5009
http://www.carf.org/aging

CARF CANADA
10665 Jasper Avenue, Suite 1400A
Edmonton, Alberta T5J3S9 Canada
Toll-Free 877 434 5444, Fax 780 426 7274
http://www.carfcanada.ca