cms intermediate care facility for individuals with intellectual disabilities definition

The Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) benefit is an optional Medicaid benefit. The Social Security Act created this benefit to fund "institutions" (4 or more beds) for individuals with intellectual disabilities and other related conditions, and specifies that these institutions must provide "active treatment," as defined by the Secretary of the U.S. Department of Health and Human Services. Currently, all 50 States have at least one ICF/IID facility. This program serves over 100,000 individuals, many of whom are non-ambulatory, have seizure disorders, behavior problems, mental illness, visual or hearing impairments, or a combination. All must financially qualify for Medicaid assistance.

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part 483 — requirements for states and long-term care facilities, Page: 174 (64032)

§483.75 [Amended]

  • 21. Amend § 483.75 by removing and reserving paragraph (m).

§483.470 [Amended]

  • 22. Amend § 483.470 by removing and reserving paragraph (h).
  • 23. Add § 483.475 to read as follows:

§483.75 Condition of Participation: Emergency Preparedness

The Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) must comply with all applicable Federal, State, and local emergency preparedness requirements. The ICF/IID must establish and maintain an emergency preparedness program that meets the requirements of this section. The emergency preparedness program must include, but not be limited to, the following elements:

 

(a) The ICF/IID must develop and maintain an emergency preparedness plan that must be reviewed, and updated at least annually. The plan must do all of the following:

  • (1) Be based on and include a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach, including missing clients.
  • (2) Include strategies for addressing emergency events identified by the risk assessment.
  • (3) Address of its client population, including, but not limited to, persons at-risk; the type of services the ICF/IID has the ability to provide in an emergency; and continuity of operations, including delegations of authority and succession plans.
  • (4) Include a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials’ efforts to maintain an integrated response during a disaster or emergency situation, including documentation of the ICF/IID's efforts to contact such officials and, when applicable, its participation in collaborative and cooperative planning efforts.