Texas Health and Human Services licenses and Intermediate Care Facilities for Individuals with Intellectual Disabilities for compliance with state and federal laws and regulations. Through these regulatory activities, HHS protects Texas citizens receiving these services.
What is an ICF/IID?
A facility serving persons with an intellectual disability or related conditions licensed under this chapter as described in 40 TAC §90.2 of this chapter (relating to scope) and required to be licensed under the Health and Safety Code, Chapter 252, or the entity that operates such a facility; or, in Subchapters C, D, and F of this chapter, a program provider that must comply with those subchapters in accordance with 40 TAC §9.212 of this title (relating to Non-licensed Providers Meeting Licensure Standards).
Becoming Licensed in Texas
ICFs/IID must be licensed to operate in Texas. To become licensed, a location must:
- Properly complete the license application.
- Submit appropriate ownership documents.
- Pass Life Safety Code and health inspections.
- Be approved by the Licensure and Credentialing Unit.
Types of Applications
An initial application has never been issued an HHS license number to operate in Texas. Changes of ownership are also considered initial applications.
Change of Ownership
A change-of-ownership application happens when the facility changes the tax identification number.
Reactivation application is considered an initial application.
A renewal application for current license holder must be submitted on or before the licensure expiration date. Late fee can apply. Any application submitted after the licensure expiration date will not be accepted.
Increase in Capacity
An increase in capacity application must be submitted for an increase in capacity. A license holder must not increase a facility's licensed capacity without approval from HHS.
Time Frames for Applications
License application for an initial, relocation, renewal or change of ownership:
- Upon receipt of a license application, the HHS Licensing and Credentialing Unit has up to 30 days to review the application.
- If HHS receives an incomplete application, the Licensing and Credentialing Unit will notify the applicant in writing of any deficient items in the application. The applicant must respond with complete and correct information within 30 days from the date of notification. If the application is not completed timely, it will be denied.
- Upon receipt of a complete application and passing recommendations about Life Safety Code and health surveys, the Licensing and Credentialing Unit will issue the license within 45 days.
- If a location does not complete the application or pass Life Safety Code or health surveys within a timely manner it will be forwarded to the enforcement section for denial.
- Initial, renewal, change of ownership licensing fees: $150 fee plus $5 per bed.
- Increase capacity fee: $5 per bed.
- Late fee of one half the basic fee will be assessed if the renewal application is submitted less than 45 days before the license expiration date.
Changes of Information
Change in the Facility Name
If license holder intends to change its name (legal entity or doing business as) but does not undergo a change of ownership, the change must report the name change. Another license will be issued to reflect this change.
A license may not be transferred from one location to another without prior notice to HHS. 40 TAC §92.17.
Changes in Phone Number or Operating Hours
Changes in phone number or operating hours must be submitted in writing as soon as possible.
Fax Number and Email Address
Report as soon as possible.
Changes in Management
Report as soon as possible.
Changes in Controlling Person
Changes in controlling person (stock transfers), as defined in 40 TAC §90.3(13), must be reported as soon as possible.
A license holder must notify HHS in writing about the closure and return the license.
Visit the TULIP website for application forms and instructions. Go to TULIP.
- License application forms Form 3720, Application for State License to Operate a Long-Term Care Facility. This application applies to initial, relocation, change of ownership, capacity increase, changing administrator or manager or director, update controlling parties, update management companies, and update stock transfer.
- Form 3725, Licensure Change of Ownership Affidavit. This form must be completed by the incoming and outgoing owner.
Licensing Standards and Statutes
- Chapter 90, Licensing Standards for Intermediate Care Facilities for Individuals with Intellectual Disabilities
- Health and Safety Code Chapter 252, Intermediate Care Facilities for Individuals with Intellectual Disabilities
For Medicaid enrollment, submit the following:
- Form 3600, Application for Participation in the Title XIX Medicaid: ICF-IID, Nursing Facility or Rural Hospital Swingbed Program
- Form 2031, Governing Authority Resolution – Business Organization, or 2031-G, Governing Authority Resolution – Governmental Entity
- Form 3684, Texas Medicaid Provider Enrollment Application
- Form 5871, Disclosure of Ownership and Control Statement
- Enrollment fee
Form 3684 is completed by entities to apply for enrollment in Texas Medicaid and by existing providers to re-enroll in Texas Medicaid. A new applicant is required to enroll in Texas Medicaid as part of obtaining a Medicaid provider agreement to provide an intermediate care facility for individuals with intellectual disabilities services.
Note: Applicants that bill or intent to bill acute care services through Texas Medicaid & Healthcare Partnership must enroll in Texas Medicaid through TMHP's website.