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

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
PL 2023-13 Changes to Initial Self-Reporting Methods and Provider Investigation Report Form 3613/3613-A
IL 2023-21 Preparing for the Upcoming Fiscal Year 2023 Fee-for-Service Claims Billing Closeout
PL 2023-05 End of Temporary Waivers of Certain LTCR Requirements During COVID-19 Public Health Emergency

Note: Revised 5/8/2023. Replaced PLs 2020-21, 2020-26 and 2021-29.

PL 2023-11 Cooperation with HHSC Provider Investigations
PL 2023-07 Temporary Closures
PL 2018-20 Incident Reporting Requirements

Note: Replaces PL 13-04 and PL 18-07

IL 2022-60 Payment Rates for Large and Small State-Operated Intermediate Care Facilities for Individuals with an Intellectual Disability (ICF/IIDs) Effective Retroactive to September 1, 2022
IL 2022-58 2022 Cost Report and 2022 or 2023 Accountability Report Training Information
PL 2022-32 Blackboard Connect Emergency Communication System
PL 2022-30 Adopted Rules Related to Temporary Licenses for Long-term Care Provider Changes of Ownership (CHOWs)