• ICF/IID COVID-19 Expansion of Reopening Visitation Emergency Rule (PDF)
• ICF/IID COVID-19 Response Emergency Rule (PDF)
• Intermediate Care Facilities for Individual with Intellectual and Developmental Disabilities Questions related to COVID-19 (PDF)
• HHSC released emergency rules related to COVID-19 for LTCR Providers (PDF).
• Read the COVID-19 Response for ICF/IIDs (PDF).
• Frequently Asked Questions for ICF/IIDs about COVID-19 (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) 

Webinars

• September 8, 2020 ICF COVID-19 Q&A Webinar (PDF)
  • September 8, 2020 ICF COVID-19 Q&A Webinar Recording
• August 24, 2020 – ICF COVID-19 Q&A Webinar (PDF)
  • August 24, 2020 – ICF COVID-19 Webinar Recording
• August 10, 2020 – ICF COVID-19 Q&A Webinar (PDF)
  • August 10, 2020 – ICF COVID-19 Webinar recording
• July 27, 2020 – ICF COVID-19 Q&A Webinar (PDF) 
• July 13, 2020 – ICF COVID-19 Q&A Webinar (PDF)
• July 6, 2020 – ICF COVID-19 Q&A Webinar (PDF)
• June 29, 2020 – ICF COVID-19 Q&A Webinar (PDF)
• June 22, 2020 – ICF COVID-19 Q&A Webinar (PDF)
• June 15, 2020 – ICF COVID-19 Q&A Webinar (PDF)
• June 8, 2020 – ICF COVID-19 Q&A Webinar (PDF)
• June 1, 2020 – ICF COVID-19 Q&A Webinar (PDF)
• May 27, 2020 – ICF COVID-19 Q&A Webinar (PDF)
• May 18, 2020 – ICF COVID-19 Q&A Webinar (PDF)
• May 11, 2020 – ICF COVID-19 Q&A Webinar (PDF)
• May 4, 2020 – ICF COVID-19 Q&A Webinar (PDF)
• April 27, 2020 – ICF COVID-19 Q&A Webinar (PDF)

Please click here for Provider Communications.

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 of all ICF/IIDs (Excel)
• Directory of all ICF/IIDs (PDF)
• ICF/IID Regulation Tags (PDF)

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/IID Only (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

• Forms website

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.

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

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
  • 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

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

Other Rules and Statutes

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