March 28, 2013_ICF/ID Letters

March 28, 2013

ADSA:  ICF/IID #2013-001

Dear ICF/IID Administrator/Superintendent:

Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) will no longer be certified under time-limited agreements.  The Centers for Medicare & Medicaid Services (CMS) recently amended Chapter 42 CFR 442 to provide that provider agreements for ICFs/IID would remain in effect as long as the facility remains in compliance with the Conditions of Participation (COP).

ICFs/IID must be surveyed for re-certification an average of every 12 months and at least once every 15 months.  In some cases a facility's regular survey may occur less than a year after its previous survey.  In other cases, it may be more than a year after the prior survey.

If a facility fails to meet standards for participation during a survey, the facility may remain certified if:

  • The survey agency finds Immediate Jeopardy does not exist, and
  • The facility provides an acceptable plan of correction.

A facility may be decertified if an immediate jeopardy finding remains uncorrected after 23 days or if it fails to regain compliance with conditions of participation after 90 days.

If you have questions please contact Robert McClintock, Quality Assurance Administrator at or (360) 725-2419.


Joyce Pashley Stockwell, Director
Residential Care Services