What we do

Intermediate Care Facilities


Intermediate care facilities for individuals with intellectual disabilities (ICF/IID) are a vital component of Medicaid long-term services and supports (LTSS), providing comprehensive residential care, active treatment, and specialized services for individuals with intellectual and developmental disabilities (I/DD). Myers & Stauffer partners with state Medicaid agencies to support ICF/IID reimbursement, Medicaid rate setting, cost reporting, financial oversight, and program integrity, helping ensure compliance with Centers for Medicare & Medicaid Services (CMS) requirements while promoting accurate reimbursement and long-term program sustainability. Our multidisciplinary expertise helps states strengthen oversight, improve financial accountability, and support high-quality care across the full ICF/IID program lifecycle.

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Supporting Oversight of Facility-Based Services for Individuals with Intellectual & Developmental Disabilities

Intermediate-care facilities for individuals with intellectual disabilities (ICF/IID) provide comprehensive, facility-based services for individuals with intellectual and developmental disabilities. These services include active treatment, health care, and support services delivered in structured residential settings.

ICF/IID programs are a key component of Medicaid long-term services and supports (LTSS) and involve detailed reimbursement methodologies, cost reporting requirements, and regulatory oversight.

Myers & Stauffer supports state agencies in designing, implementing, and overseeing ICF/IID reimbursement and compliance programs. Our work helps ensure that services are appropriately reimbursed, compliant with federal and state requirements, and aligned with program goals.

Where We Support ICF/IID

ICF/IID services are commonly reimbursed using cost-based or cost-related methodologies that require detailed analysis and ongoing oversight.

We assist agencies with:

  • Development and evaluation of ICF/IID rate methodologies.
  • Cost-based rate setting and rebasing.
  • Analysis of provider cost structures and allowable costs.
  • Support for rate updates and policy changes.
  • Financial modeling to assess reimbursement impacts.

Cost reporting is a foundational component of ICF/IID reimbursement and program management.

Our services include:

  • Design and implementation of cost reporting systems.
  • Review and validation of provider cost reports.
  • Identification of reporting inconsistencies and compliance issues.
  • Development of standardized reporting guidance and tools.
  • Support for audit and reconciliation processes.

ICF/IID programs are subject to extensive federal and state requirements related to service delivery, documentation, and reimbursement.

We support agencies through:

  • Documentation and compliance reviews.
  • Evaluation of billing and reimbursement practices.
  • Support for audit and program integrity initiatives.
  • Development of oversight protocols and monitoring tools.

We provide data-driven insight to support oversight and decision-making for ICF/IID programs.

Our work includes:

  • Analysis of utilization, cost, and service patterns.
  • Evaluation of program trends and financial performance.
  • Identification of outliers and potential areas of risk.
  • Support for policy development and program refinement.

Supporting LTSS Program Management

ICF/IID services are part of a broader LTSS system that includes institutional and community-based care.

  • Broader LTSS program design.
  • Access, cost, and quality considerations.
  • Transitions between institutional and community-based settings.

Informed by Provider Experience

Our work with ICF/IID programs is informed by a broader understanding of provider operations across the LTSS continuum.

The Transformative Power of Partnership

Connect With Our Team

Partner with experts who understand the complexities of health and human services programs. Let us guide your organization through the industry’s unique challenges and opportunities.

Email: tclark@mslc.com
Phone Number: 888-749-5799

Email: tammym@mslc.com
Phone Number: 208-378-4100

In the Words of our Clients…

Trusted and reliable partner. They are also trusted by our provider community as well because their work is accurate, comprehensive, and solid!”

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