Intermediate care facilities for individuals with intellectual disabilities regulations

Questions about enrolling?

Table of Contents Show

What is an ICF/IID?
Provider Communications
Contact Program Staff
Directory and Regulation Tags
Forms and Handbooks
Regulatory Comment Card Survey
Statutes and Rules
IDD and PI Quarterly Webinars
Communications
Information & Provider Letters
What is the difference between ICF and HCS?
Who licenses intermediate care facilities in California?
What type of care is provided with intermediate care?
What is an intermediate care facility in NC?

Call the Licensing and Certification Unit at 512-438-2050

Visit the Texas Unified Licensure Information Portal (TULIP) website

For application forms and instructions.

Go to TULIP

Civil Money Penalty (CMP) Reinvestment Program

Accepts applications for new projects during the following application periods (excludes Communicative Technology):
Jan. 1 – Feb. 28
July 1 – Aug. 31

What is an ICF/IID?

The Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions program provides residential and habilitation services to people with intellectual disabilities or a related condition.

Provider Communications

Click here for news, information letters (ILs) & provider letters (PLs).

COVID-19

Guidance

ICF/IID COVID-19 Response Plan (PDF) – revised August 16, 2022
Frequently Asked Questions for ICF/IIDs about COVID-19 (PDF) – revised August 16, 2022

Resources

Infection Prevention and Control Measures for Common Infections in LTC Facilities (PDF)
National Healthcare Safety Network Long Term Care Facility COVID-19 Module Enrollment (PDF)
Infection Control Basics & PPE Training for Essential Caregivers (PDF)
Long-term Care COVID-19 Vaccination Options (PDF)
COVID-19 Vaccination-Pharmacy Partnership for Long-Term Care (PDF)
Proper N95 Respirator Use for Respiratory Protection Preparedness
Helping Residents with Dementia Prevent the Spread of COVID-19 in LTC Communities (PDF)
Helping Individuals with Intellectual Disabilities and Related Conditions Prevent the Spread of COVID-19 (PDF)
Omnicare POC Testing FAQs for Healthcare Professionals (PDF)

ICF Medicaid Provider Training

ICF/IID Provider Bed Hold Payments Webinar, Feb. 5, 2021
ICF/IID Provider Payments for 90 days of Leave Due to the COVID-19 Pandemic (PDF)
Feb 5, 2021 ICF/IID Bed Hold Webinar, Questions and Answers (PDF)
Emergency rule authorizing payment for COVID-19 therapeutic leave (PDF) (see page 2) effective Jan. 29, 2021.
IL 2021-37 Payments for Leave Due to the COVID-19 Pandemic (PDF)

COVID Webinars

April 11, 2022 HCS & ICF/IID COVID-19 Webinar with HHSC LTCR (PDF)
- April 11, 2022 HCS & ICF/IID COVID-19 Webinar with HHSC LTCR Recording
March 07, 2022 HCS & ICF/IID COVID-19 Webinar with HHSC LTCR (PDF)
- March 07, 2022 HCS & ICF/IID COVID-19 Webinar with HHSC LTCR Recording
February 14, 2022 HCS & ICFIID COVID-19 Webinar with HHSC LTCR (PDF)
- February 14, 2022 HCS & ICFIID COVID-19 Webinar with HHSC LTCR Recording
January 19, 2022 HCS & ICFIID COVID-19 Webinar with HHSC LTCR (PDF)
- January 19, 2022 HCS & ICFIID COVID-19 Webinar with HHSC LTCR Recording
January 10, 2022 ICF COVID-19 Q&A Webinar (PDF)
- January 10, 2022 ICF COVID-19 Q&A Webinar Recording
December 13, 2021 ICF COVID-19 Q&A Webinar (PDF)
- December 13, 2021 COVID-19 Q&A Webinar Recording
November 1, 2021 ICF COVID-19 Q&A Webinar (PDF)
- November 1, 2021 COVID-19 Q&A Webinar Recording
October 4, 2021 ICF COVID-19 Q&A Webinar (PDF)
- October 4, 2021 COVID-19 Q&A Webinar Recording
September 13, 2021 ICF COVID-19 Q&A Webinar (PDF)
- September 13, 2021 COVID-19 Q&A Webinar Recording

For older recordings, email LTCR Policy.

Contact Program Staff

Forms Processing and Service Authorizations: Provider Claims Services, 512-438-2200, Option 1

Contract Administration and Provider Monitoring: 512-438-3390,

Quality Assurance Fee (QAF): 512-424-6552

Contracting Policy, Living Options, Trust Funds, Therapeutic Leaves or QAF:

Enforcement: 512-438-2626

Licensing and Certification: 512-438-2630

Regulatory Services Policy: 512-438-3161,

Other Contact Information: Regulatory Services regional contacts

Directory and Regulation Tags

Directory of all ICF/IIDs (Excel)
Directory of all ICF/IIDs (PDF)
ICF/IID Closures (Excel)
ICF/IID Closures (PDF)
ICF/IID Licensure Tags (PDF)
ICF/IID State Standards of Participation Tags (PDF)

Forms and Handbooks

Handbooks

Community ICF/IID Living Options Instrument (PDF)
Denial or Refusal of License Handbook
Licensed Intermediate Care Facility for Individuals with an Intellectual Disability or Related Conditions (ICF/IID) Provider Manual
Licensing Standards for Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICFs/IID) Handbook

Forms

Form 1570, Request for MN/LOC Evaluation or Verification of RUG Category
Form 3613-A Provider Investigation Report
Form 3708: Amelioration Request
Form 8603: Level of Need (LON) Review/Increase Cover Sheet
Form 8578:Intellectual Disability/Related Condition Assessment
Form 8662: Related Conditions Eligibility Screening Instrument

Centers for Medicare & Medicaid Services Forms

Forms website

Funding

There is no additional funding for ICF/IIDs and there has not been for several years. If funding should become available, notice will be posted in the Texas Register.

Regulatory Comment Card Survey

Please click here to take a short survey about the recent visit to your facility by Texas Health and Human Services Regulatory Services.

Statutes and Rules

State

Texas Administrative Code, Title 40, Part 1
Texas Administrative Code, Title 40, Part 1, Chapter 4, Rights of Protection of Individuals Receiving Intellectual Disability Services
Texas Administrative Code, Title 40, Pat 1, Chapter 5, Provider Clinical Responsibilities — Intellectual Disability Services
Texas Administrative Code, Title 40, Part 1, Chapter 6, ICF/IID Programs — Contracting
Texas Administrative Code, Title 40, Part 1, Chapter 8, Client Care — Intellectual Disability Services
Texas Administrative Code, Title 40, Part 1, Chapter 9, Intellectual Disability Services - Medicaid State Operating Agency Responsibilities
Texas Administrative Code, Title 26, Part 1, Chapter 261, Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF/IID) Program—Contracting
Texas Administrative Code, Title 26, Part 1, Chapter 551, Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions
- Subchapter H, Rule 551.236: Administrative Penalties
Texas Administrative Code, Title 26, Part 1, Chapter 560: Criminal Convictions Barring Facility Licensure
Texas Health and Safety Code, Title 4, Chapter 252, Intermediate Care Facilities for Individuals with an Intellectual Disability
Texas Administrative Code, Title 26, Chapter 331, LIDDA Service Coordination

Federal

Centers for Medicare and Medicaid Services (CMS) State Operations Manual
- Appendix J: Guidance to Surveyors: Intermediate Care Facilities for Persons with Intellectual Disabilities (PDF)
- Exhibit 355: Probes and Procedures for Appendix J, Part II-Interpretive Guidelines-Responsibilities of ICFs/IID (PDF)
- Appendix Q: Guidelines for Determining Immediate Jeopardy (PDF)
- Appendix I: Survey Procedures and Interpretive Guidelines for Life Safety Code Surveys (PDF)
Code of Federal Regulations, Title 42, Chapter IV, Part 483 - Requirements for States and Long Term Facilities
Code of Federal Regulations, Title 42, Chapter IV, Part 440, Section 150: Intermediate Care Facility Services

Other Rules and Statutes

Health and Human Services Rulemaking
Texas Legislature Online
Texas Register
Texas statutes

IDD and PI Quarterly Webinars

July 12, 2022 IDD and PI Quarterly Webinar (PDF)
- July 12, 2022 IDD and PI Quarterly Webinar Recording
October 27, 2022 IDD and PI Quarterly Webinar (PDF)
- October 27, 2022 IDD and PI Quarterly Webinar Recording

Communications

News

Resources

Information & Provider Letters

Note: These files are in PDF format unless otherwise noted.

Number	Title/Notes	Date Published
IL 2022-53	Requirements for Providers Seeking to Deliver New Individualized Skills and Socialization Services	10/25/2022
PL 2018-20	Incident Reporting Requirements Note: Replaces PL 13-04 and PL 18-07	10/20/2022
PL 2022-24	Amelioration of Administrative Penalties Note: Replaces PL 06-38, PL 02-36, PL 03-32 and PL 2013-18	09/19/2022
IL 2022-43	Fiscal Year 2022 Cutoff Date for Year-end Closeout Processing	08/05/2022
PL 2022-18	New Regional Boundaries for Long-term Care Providers Note: updated to PL 2022-18	08/01/2022
PL 2022-15	Offsite Review Responsibility Requirements	07/19/2022
PL 2022-13	New Rules Implementing Senate Bill (S.B.) 25 and Senate Bill (S.B.) 572, 87th Legislature, Regular Session, 2021, Version 2 Note: Revised -- originally issued June 1, 2022	07/01/2022
IL 2022-35	IL 2022-35 Provider Information Validation on LTC Claims	06/24/2022
IL 2022-31	Preparing for the upcoming Fiscal year 2022 Fee-for-Service Claims Billing Closeout	05/19/2022
PL 2022-09	Process for Requesting Testing Supplies for Providers Without a CLIA Waiver	03/07/2022

What is the difference between ICF and HCS?

A: The main difference between HCS and ICF/IID is that HCS is a home and community-based services program while ICF/IID is a facility-based program. ICF/IID provides 24-hour care and supervision in a residential setting.

Who licenses intermediate care facilities in California?

Intermediate Care Facilities (ICF) are health facilities licensed by the Licensing and Certification Division of the California Department of Public Health (CDPH) to provide 24-hour-per-day services.

What type of care is provided with intermediate care?

An intermediate care facility (ICF) is a long term care facility that provides nursing and supportive care to residents on a non-continuous skilled nursing care basis, under a physician's direction.

What is an intermediate care facility in NC?

An Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID) is an institution that: Functions primarily for the diagnosis, treatment or rehabilitation of individuals with intellectual disabilities or with a related condition.