User:LLA2020/Intermediate Care Facilities for Individuals with Mental Retardation

Intermediate Care Facilities for Individuals with Intellectual Disabilities From Wikipedia, the free encyclopedia Jump to navigation Jump to search

Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID - formerly known as Intermediate Care Facilities for Mental Retardation (ICF/MR) is a Medicaid-funded institutional long-term support and service (LTSS) for people with intellectual disabilities or related conditions. Section 1905(d) of the Social Security Act[1] enacted benefits and made funding available for "institutions" (which consisted of 4 or more beds) for individuals with intellectual or related conditions. According to federal law 42 CFR § 440.150 the purpose of ICD/IIDs is to "furnish health or rehabilitative services to persons with Intellectual Disability or persons with related conditions."

The number of individuals living in ICD/IID facilities peaked in 1993 at 147,729 people [3]. In 1981, Congress enacted legislation allowing Medicaid funding for LTSS through programs such as the Home-and Community-Based Services (HCBS) waiver program that provides supports for people to live in their communities and that promotes increased opportunities for choice and control (42 U.S.C. Ch. 7, § 1396n §§.) States have refocused their efforts on providing community-based LTSS leading to a reduction in the use of ICD/IID LTSS. Add As of FY 2107, 74,614 individuals resided in these facilities[4].