Distinct Part ICF/IID

2134 - Distinct Part ICF/IID (Rev. 91, Issued: 09-27-13, Effective: 09-27-13, Implementation: 09-27-13) Neither the law nor Federal regulations define or require ICF/IID services in terms of distinct parts. However, as a State Medicaid program requirement, States may provide for distinct part ICF/IID approvals. Where the SMA elects to define the ICF/IID program in terms of distinct parts, these additional Federal provisions must be met: • The distinct part must be a clearly identified unit, such as an entire ward, wing, floor, building, or a number of designated rooms; • The distinct part consists of all beds and related facilities in the unit; and • The institution does not need require transfer of patients or individuals to or from the distinct part, where, in the opinion of the attending physician, transfer might be harmful to the physical or mental health of the patient or individual. Otherwise, the unit houses all ICF/IID residents in the institution.