What is an Intermediate Care Facility?

Intermediate Care Facilities for Individuals with Intellectual Disability (ICF/ID)

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 waivers for individuals at the ICF/ID level of care.  

Eligibility for ICF/ID Benefit

ICF/ID is available only for individuals in need of, and receiving, active treatment (AT) services. AT refers to aggressive, consistent implementation of a program of specialized and generic training, treatment and health services. AT does not include services to maintain generally independent clients 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/ID service, or make it subject to waiting lists, as they may for HCBS. Therefore in some cases ICF/ID 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.


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Intermediate Care Facilities