Intermediate Care Facilities (ICF/IID)

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

Read news, information letters (ILs) and provider letters (PLs).



ICF Medicaid Provider Training

Contact Program Staff

Contract Administration and Provider Monitoring: 512-438-3390, email CAPM NF ICF Contracting

Contracting Policy, Living Options, Trust Funds, Therapeutic Leaves or QAF: email HHSC ICFIID Questions

Enforcement: 512-438-2626

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

Licensing and Certification: 512-438-2630

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

Regional Contact Information: Regulatory Services regional contacts

Regulatory Services Policy: 512-438-3161, email HHSC LTCR Policy

Surrogate Decision-making Program (SDMP): Email Randy Rowley, SDMP Manager or call (512) 438-4306 with questions pertaining to Surrogate Consent Committees (SCC), or if you would like to volunteer to serve on a SCC.

Directory and Regulation Tags

Forms and Handbooks



Centers for Medicare & Medicaid Services (CMS) Forms


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

Statutes and Rules



Other Rules and Statutes


ICF Webinars

IDD and PI Quarterly Webinars


Information & Provider Letters

Case-sensitive. Use commas to separate multiple entries.
Note: These files are in PDF format unless otherwise noted.
Number Title/Notes Date Published
IL 2024-05 Preparing for the Upcoming Fiscal Year 2024 Fee-for-Service Claims Billing Closeout
PL 2020-01 How to File a Complaint Regarding a Surveyor and Report Survey Inconsistencies

Note: Revised 4/16/2024

PL 2024-04 Revised Process for Reporting and HHSC Investigations of Abuse, Neglect, and Exploitation

Note: Replaces PL 2017-02 and PL 2017-03. Revised 03/04/2024

IL 2024-04 Changes to HHSC-Approved Diagnostic Codes for Persons with Related Conditions List

Note: Replaces IL 2021-44

IL 2024-03 Personal Needs Allowance (PNA) Overpayment Error
IL 2023-44 2023 Cost Report and 2023 or 2024 Accountability Report Training Information
IL 2023-42 2023 Reporting Requirements for Attendant Compensation Rate Enhancement
PL 2023-20 Texas Unified Licensure Information Portal (TULIP) – Updated and Additional Information

Note: Replaces PL 2018-15.

IL 2023-40 State Fiscal Year 2024 Awarded Levels for the Attendant Compensation Rate Enhancement and Direct Care Staff Enhancement Programs Effective Retroactive to September 1, 2023
IL 2023-33 Attendant Services in Various Programs