Required Documents and Forms

Intermediate care facilities for individuals with intellectual disabilities are authorized by the following:

• Title 42, Code of Federal Regulations (CFR), Parts 442 and 483
• Section 409.906, Florida Statutes (F.S.)
• Rule 59G-4.170, F.A.C.
• Developmental Disabilities Medicaid Information Sheet
• Florida Department of Children and Families
• Florida Agency for Health Care Administration (AHCA)
• Florida Agency for Persons with Disabilities (APD)
• Florida Medicaid Intermediate Care Facility for Individuals with Intellectual Disabilities Services Coverage Policy, July 2016

Required Documents

ICF/IID Screening Tool for LOR 3 Requests