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.
Communications
Contact Program Staff
Forms Processing and Service Authorizations: Provider Claims Services, 512-438-2200, Option 1
Contract Administration and Provider Monitoring: 512-438-3390, CAPM_NF_ICF_Contracting@hhsc.state.tx.us
Quality Assurance Fee (QAF): 512-424-6552
Contracting Policy, Living Options, Trust Funds, Therapeutic Leaves or QAF: icfiid.questions@hhsc.state.tx.us
Enforcement: 512-438-2626
Licensing and Certification: 512-438-2630
Regulatory Services Policy: 512-438-3161, PolicyRulesTraining@hhsc.state.tx.us
Other Contact Information: Regulatory Services regional contacts
Directory and Regulation Tags
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 8658: Medical Increase Worksheet — ICF/IIDOnly (Nursing Services Provided > 180 Minutes Per Week)
- 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
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
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 551, Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions
- 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
Formatted State Rules
HHS maintains the formatted versions of rules related to this program on its website to enhance public access to program information. The Texas Register and the Texas Administrative Code remain the official sources for all HHS rules.
- Service Coordination for Individuals with an Intellectual Disability Chapter 2, Subchapter L
- ICF/IID Programs — Contracting Chapter 9, Subchapter E (PDF)
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
