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.
COVID-19
Rule
- ICF/IID Provider COVID-19 Vaccination Data Reporting Rule (PDF) – effective Aug. 11, 2021
- ICF/IID COVID-19 Expansion of Reopening Visitation Emergency Rule (PDF) – effective Oct. 20, 2021
- ICF/IID COVID-19 Response Emergency Rule (PDF) – effective Dec. 07, 2021
Guidance
- Guidance for LTC Facilities Experiencing Staffing Shortages Due to COVID-19 (PDF) – revised Jan. 06, 2022
- ICF/IID COVID-19 Response Plan (PDF) – revised Jan. 18, 2022
- Frequently Asked Questions for ICF/IIDs about COVID-19 (PDF) – revised Jan. 18, 2022
Resources
- 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 2021-05 Payments for Leave Due to the COVID-19 Pandemic (PDF)
Webinars
- January 19, 2022 HCS & ICFIID COVID-19 Webinar with HHSC LTCR (PDF)
- January 10, 2022 ICF COVID-19 Q&A Webinar (PDF)
- December 13, 2021 ICF COVID-19 Q&A Webinar (PDF)
- November 1, 2021 ICF COVID-19 Q&A Webinar (PDF)
- October 4, 2021 ICF COVID-19 Q&A Webinar (PDF)
- September 13, 2021 ICF COVID-19 Q&A Webinar (PDF)
For older recordings, email LTCR Policy.
Communications
Please click here for Provider 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
- Directory of all ICF/IIDs (Excel)
- Directory of all ICF/IIDs (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 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
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 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
- 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.
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