Intermediate Care Facilities

Intermediate care facilities are state, or privately operated residential programs. These facilities emanated from Title XIX of the Social Security Act and are funded through Medical Assistance. Intermediate care facilities are supported by both federal and state funds and are specifically designed to furnish health and rehabilitative services to persons with intellectual disabilities or related conditions.

In Pennsylvania, the federal intermediate care facility standards found at 42 CFR 483.400 are used as the basis for both the licensure and certification of the facility programs. These facilities are licensed in Pennsylvania under 55 Pa. Code Chapter 6600 and the PA Department of Health is responsible for the survey and recommendations related to the licensure and certification of the intermediate care facility programs. The Department of Human Services Office of Medical Assistance Programs uses those survey recommendations from the Department of Health for the purpose of certification.

The Department of Human Services Office of Medical Assistance Programs serves as the state agency responsible for administering Medical Assistance in Pennsylvania, including administration of the intermediate care facility program. The Office of Developmental Programs oversees the services provided for individuals with intellectual disabilities within the MA program. Also within the Department of Human Services, the Office of Developmental Programs is responsible for various functions such as rate setting, review of cost reports, and development and implementation of regulations and policies related to programs and services for individuals with intellectual disabilities, including those programs and services provided by intermediate care facilities.

The basic principles of intermediate care facilities are:

Each individual has capacity for growth and development;
Access to services that enhance development, well-being and quality of life shall be provided to each individual.
Access to the most normal and least restrictive social and physical environments shall be provided consistent with each individual's needs.
Each individual’s services shall be delivered in accordance with a single, comprehensive individual rehabilitation plan that is developed, monitored, coordinated, and revised by members of a duly constituted interdisciplinary team.

In accordance with parameters in Medical Assistance regulations, intermediate care facilities provide services and supports to individuals with intellectual disabilities or other related conditions. To the maximum extent possible, services reflect person-centered planning, inclusion in community life, and control and choice by the individuals served. In addition, services place an emphasis on values including accountability, collaboration, permanency, security, freedom, prosperity, individuality, quality, safety, stability, success, relationships, recognition, privacy, and citizenship.

Pennsylvania serves approximately 2,300 people in 172 certified intermediate care facilities varying in size.

How to find Intermediate Care Facilities under Licensed Facilities

Access the Human Services Provider On Line Directory to locate an intermediate care facility. Under the Service Code category, select Intermediate Care Facility/ID and under the Program Office category, select Office of Developmental Programs. Choose a county or zip code to narrow the search for a particular area of Pennsylvania.

Related Bulletins:

00-08-03 - Procedures for Service Delivery, Issue Date 01/30/2008, Effective Date 01/01/2008
00-06-09 - Elimination of Restraints Through Positive Practices, Issue Date 05/01/2006, Effective Date 05/01/2006
00-06-08 - Employment for Individuals in ICFs/ID, Issue Date 04/05/2006, Effective Date 04/05/2006
00-05-01 - Issuance of Audit Guide for Non-State Operated Intermediate Care Facilities for persons with Intellectual Disabilities (ICF/ID), Issue Date 11/30/2004, Effective Date 11/30/2004
00-04-15 Alternative Sanction Guidelines for ICF/ID Medical Assistance Certification, Issue Date 01/28/2005, Effective Date 01/28/2005
00-03-07 Medication Administration Training Program, Issue Date 08/12/2003, Effective Date 08/12/2003
00-03-02 Site Visits and Access by Pennsylvania Protection and Advocacy, Issue Date 02/19/2003, Effective 02/19/2003
00-02-13 Need for ICF/ID Level of Care, Issue Date 08/07/2002, Effective Date 08/07/2002
4210-02-05 Clarifying Eligibility for ID Services and Supports, Issue Date 05/31/2002, Effective Date 05/31/2002
6000-96-01 Criteria for Approval of New ICFs/ID, Issue Date 04/06/1996, Effective Date 04/06/1996

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