Intermediate Care Facilities (ICF/IID)

Questions about enrolling?

Call the Licensing and Certification Unit at 512-438-2630.

Visit the Texas Unified Licensure Information Portal (TULIP) website

For application forms and instructions.


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.





ICF Medicaid Provider Training


For older recordings, email LTCR Policy.


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,

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

Contracting Policy, Living Options, Trust Funds, Therapeutic Leaves or QAF:

Enforcement: 512-438-2626

Licensing and Certification: 512-438-2630

Regulatory Services Policy: 512-438-3161,

Other Contact Information: Regulatory Services regional contacts

Directory and Regulation Tags

Forms and Handbooks



Centers for Medicare & Medicaid Services 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 click here to take a short survey about the recent visit to your facility by Texas Health and Human Services Regulatory Services.

Statutes and Rules


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.


Other Rules and Statutes


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
PL 2022-02 ICF and HCS Emergency Staffing Requests
PL 2021-44 Active, Unemployable Work-Around
PL 2020-37 Reporting Guidance for Long-term Care Providers

Note: Replaces the version last revised on November 20, 2020.

IL 2021-58 2022 Upper Payment Limit (UPL) Program
IL 2021-57 2021 Cost Report and 2021 or 2022 Accountability Report Training Information
IL 2021-56 Institutional Claim, Attending Provider's NPI
PL 2020-08 Requirement to Submit Facility Resident Death Report

Note: Originally issued February 12, 2020. Replaces PL-12-26. Revised November 29, 2021

PL 2021-38 Medicaid Bed Reallocation

Note: Replaces PL 19-21

PL 2021-21 COVID-19 Response - Expansion of Reopening Visitation

Note: Replaces PL 2021-10

IL 2021-44 Changes to HHSC-Approved Diagnostic Codes for Persons with Related Conditions List

Note: Replaces IL 2020-44. Revised September 27, 2021