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Intermediate Care Facilities for Individuals with Intellectual Disabilities provides residential and rehabilitation services to people with intellectual disabilities. The Social Security Act created this benefit to fund institutions for individuals with intellectual disabilities, specifically those that provide. 

Services Available

ICF/IDD provides active treatment, a continuous, aggressive, and consistent implementation of a program of specialized and generic training, treatment and health of related services, directed toward helping the enrollee function with as much self-determination and independence as possible. ICF/IDD is the most comprehensive benefit in Medicaid.

Federal rules provide for a wide scope of required services and facility requirements for administering services. All services including health care services and nutrition are part of the AT, which is based on an evaluation and individualized program plan (IPP) by an interdisciplinary team. Facility requirements include staffing, governing body and management, client protections, client behavior and physical environment, which are specified in the survey and certification process.


Intermediate Care Facilities for Individuals with Intellectual Disability )ICF/ID) 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. Although it is an optional benefit, all states offer it, if only as an alternative to home and community-based services.

Factors to Consider

  • What is the staff to client ratio?
  • Are amenities (such as private rooms, individual televisions, private telephones) available and at what cost?
  • What day services and activity programs are held at the facility?
  • What is the placement criteria?
  • Do the residents appear comfortable, well-groomed and involved in meaningful activities?
  • Is the overall facility well-maintained, pleasing and cheerful? Does the staff seem friendly, caring and accommodating to residents and visitors?
  • What is the visitation policy?