What is an Intermediate Care Facility for Individuals with Intellectual Disabilities? Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) is an optional Medicaid benefit that enables states to provide comprehensive and individualized health care and rehabilitation services to individuals to promote their functional status and independence.  In Florida, the ICF/IID program is an alternative to home and community-based services waivers for individuals at the ICF/IID level of care.

MCPRS supports children & adults with all types of developmental disabilities such as intellectual disabilities, cerebral palsy, spina bifida, seizure disorder, autism, and dually diagnosed, to name a few.

Our Admission Criteria is:

  • Individuals must have Florida Medicaid or be Florida Medicaid eligible.
  • Individuals must be in need of 24 hour supervision, coordination and integration of health and or Individuals must be non-ambulatory or dependent upon a walker or wheelchair for mobility.
  • Individuals of all ages may be considered as long as the facility can meet, provide and arrange for the provisions of all services required and prescribed by the interdisciplinary team and as requested by the person needing support and or their guardian, if the person has been adjudicated incompetent by the court.
  • ICF/IID is available only for individuals in need of, and receiving, active treatment services. Active Treatment refers to aggressive, consistent implementation of a program of specialized and generic training, treatment and health services. Active Treatment does not include services to maintain generally independent individuals who are able to function with little supervision and who do not require a continuous program of habilitation services.
  • States may not limit access to ICF/IID service, or make it subject to waiting lists, as they may for Home Community Base Waiver Services. Therefore in some cases ICF/IID services may be more immediately available than other long term care options. Many individuals who require this level of service have already established disability status and Medicaid eligibility.

Need for ICF/IID is specifically defined by states, all of whom have established ICF/IID level of care criteria. State level of care requirements must provide access to individuals who meet the coverage criteria defined in Federal law and regulation. In addition to level of care for Active Treatment, the need for Active Treatment must arise from an intellectual disability or a related condition. The definition of related condition is primarily functional, rather than diagnostic, but the underlying cause must have been manifested before age 22 (Agency for Persons with Disabilities in Florida enforces age 18) and be likely to continue indefinitely. States vary in practical application of the concept of related condition. In some states individuals applying for ICF/IID residence may be eligible for Medicaid under higher eligibility limits used for residents of an institution.