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What is an ICF/ID?

Intermediate care facilities for persons with intellectual disabilities (ICFs/ID) are an optional Medicaid benefit. Part of the Social Security Act created this benefit to fund residences (four or more beds) for persons with intellectual disabilities or other related conditions. It is specified that these facilities must provide active treatment. The primary purpose of the ICF/ID is to provide health and rehabilitative services.

All persons receiving ICF/ID services must financially qualify for Medicaid assistance. Many of the individuals who receive care have other disabilities as well as intellectual challenges. Usually persons who reside at the facilities are "medically fragile:" Have physical challenges, seizure disorders, behavior problems, mental illness, are visually or hearing impaired, have eating or feeding disorders, and/or have a combination of these conditions.

The ICFs/ID that DIDD is building, known as the DIDD West Tennessee Community Homes, are designed to provide services for this population. Persons must be able to function in their new environment without much difficulty. They are being provided with the appropriate staff, assistive devices and equipment, wheelchair accessible bedrooms, bathrooms and living space, closets and interactive spaces to promote comfort and independence.

The homes are designed to meet the needs of individuals with severe medical and intellectual challenges. They will have the opportunity to live in the least restrictive environment in keeping with their level of functioning. Consideration is given to social and intellectual development, friendship patterns and commonality of interests when persons are grouped for co-habitation. Caution is observed through the development of individualized transition and service plans so that the health, safety or development of any person is not jeopardized.

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