---
kind: "section"
citation: "42 C.F.R. § 440.150"
title: "42"
number: "440.150"
heading: "Intermediate care facility (ICF/IID) services."
url: "https://uscodex.org/cfr/42/440.150"
---

# §440.150. Intermediate care facility (ICF/IID) services.

- (a) “ICF/IID services” means those items and services furnished in an intermediate care facility for Individuals with Intellectual Disabilities if the following conditions are met:
  - (1) The facility fully meets the requirements for a State license to provide services that are above the level of room and board;
  - (2) The primary purpose of the ICF/IID is to furnish health or rehabilitative services to persons with Intellectual Disability or persons with related conditions;
  - (3) **The ICF/IID meets the standards specified in subpart I of part 483 of this chapter.**
  - (4) The beneficiary with Intellectual Disability for whom payment is requested is receiving active treatment, as specified in [§ 483.440](/cfr/42/483.440.md) of this chapter.
  - (5) The ICF/IID has been certified to meet the requirements of [subpart C of part 442](/cfr/42/part442-subpartC.md) of this chapter, as evidenced by a valid agreement between the Medicaid agency and the facility for furnishing ICF/IID services and making payments for these services under the plan.
- (b) ICF/IID services may be furnished in a distinct part of a facility other than an ICF/IID if the distinct part—
  - (1) Meets all requirements for an ICF/IID, as specified in [subpart I of part 483](/cfr/42/part483-subpartI.md) of this chapter;
  - (2) Is clearly an identifiable living unit, such as an entire ward, wing, floor or building;
  - (3) Consists of all beds and related services in the unit;
  - (4) Houses all beneficiaries for whom payment is being made for ICF/IID services; and
  - (5) **Is approved in writing by the survey agency.**

## Notes

### Amendments

[59 FR 56234, Nov. 10, 1994]

### Authority

Authority: 42 U.S.C. 1302.

### Source

Source: 43 FR 45224, Sept. 29, 1978, unless otherwise noted.

### Amendments

[59 FR 56234, Nov. 10, 1994]