Section 1905(d) of the Social Security Act[1] enacted benefits and made funding available for "institutions" (which consisted of 4 or more beds) for individuals with intellectual or related conditions.
It provided the first Medicaid long-term services and supports benefit specifically for persons with intellectual and developmental disabilities.
While many of these individuals located in these facilities are non-ambulatory, have seizure disorders, behavior problems, mental illness, visual or hearing impairments, or a combination of the above, they all still must qualify for Medicaid assistance financially to remain in practice.
CoPs serve as the basis of survey activities for the purpose of determining whether a facility qualifies for a provider agreement under Medicare or Medicaid.
[5] Operating ICFs/IID certified companies and organizations must recognize the developmental, cognitive, social, physical, and behavioral needs of individuals with intellectual disabilities who live in their setting or environment by requiring that each individual receives active treatment in regards to appropriate habilitation of their functions to be eligible for Medicaid funding.
The Medicaid Home and Community Based Services (HCBS) was authorized in 1981 as an alternative to the institutional standards of the ICF/IID program.
It is overwhelmingly the largest funding source of both acute health care and long term services and supports for most of our constituents.