An ICF/MR facility operated by Texas Department of Mental Health Mental Retardation. It serves a range of 6 – 30 individuals in each living unit. There are multiple living units on each state school campus, with 24-hour supervision/support and licensed nursing services. Most programming occurs on the facility.

To be eligible for the ICF-MR Program an individual must:

• Be an individual with:
  • mental retardation and an IQ of 69 or below as measured by a standardized psychometric instrument; or
  • a related condition, diagnosed through formal testing and evaluation and meeting all five conditions listed in the "MR/RC Assessment, Instructions, Related Conditions Eligibility Screening Instrument." Assessments of IQ are not required;
• Be in need of and able to benefit from the active treatment provided in the 24-hour supervised residential setting of an ICF-MR, as evidenced by information submitted to TDMHMR for a LOC determination; and
• Meet the Medicaid financial eligibility criteria and the LOC determination criteria. The LOC determination is made independently of the financial need determination.

Click here for a comparison of ICF-MR and HCS.

Adaptive Behavior Level (ABL) – The effectiveness or degree to which the individual meets the standards of personal independence and social responsibility expected of the person’s age and cultural group as assessed by a standardized assessment instrument.

Inventory for Client and Agency Planning (ICAP) – A designation which identifies the level of services needed by an individual as determined by the ICAP assessment instrument. For information on how to obtain a copy of the ICAP assessment instrument , contact TDMHMR, Office of Medicaid Administration, P.O. Box 12668, Austin, TX 78711-2668).

Interdisciplinary Team (IDT) – Those persons (professionals, paraprofessionals, and non-professionals) who possess the knowledge, skills, and expertise necessary to accurately identify the comprehensive array of an individual’s needs and design a program which is responsive to those needs.

Level of Care (LOC) – A determination given to an individual based on data submitted on the MR/RC Assessment.

Level of Need (LON) – An assignment given to an individual based on the ICAP service level and selected items on the MR/RC Assessment form which determines the non-state operated rate of reimbursement for that individual.

MR/RC Assessment – A form utilized by TDMHMR for eligibility determination, LOC determination, and LON assignment.

Medical Care Plan – a plan developed by a physician, in cooperation with licensed nursing personnel, for an individual who requires 24 hour supervision by licensed nurses.

Related Condition (RC) – a sever, chronic disability that:

• is attributed to:

1. cerebral palsy or epilepsy; or
2. any other condition, other than mental illness, found to be closely related to mental retardation because the condition results in impairment of general intellectual functioning or adaptive behavior similar to that of persons with mental retardation, and requires treatment or services similar to those required for persons with mental retardation;

• is manifested before the person reaches age 22;
• is likely to continue indefinitely; and
• results in substantial functional limitations in at least three of the following areas of major life activity;

1. self-care;
2. understanding and use of language;
3. learning;
4. mobility;
5. self-direction;
6. capacity for independent living

For questions regarding ICF-MR, please contact Sarita Wesley-Scott at (713) 970-7649.