Licensure and Certification  

All ICFs/IID are federally certified. Many are both certified and also licensed by the state. Non-licensed facilities, such as state supported living centers (SSLCs) and community centers, are certified.

The state of Texas surveys ICFs/IID to ensure the facility is in compliance with the rules and regulations.

State licensure is based on the Texas Administrative Code (TAC). 40 TAC Chapter 90 contains the ICF/IID licensing standards.  

Federal certification is based on the U. S. Code of Federal Regulations (CFR) and requirements established through the Centers for Medicare & Medicaid Services (CMS).

The State Operations Manual (SOM) Appendix, contains information on certification requirements for ICF/IID programs and the survey process.