Recertification - ICFs/IID

2141 - Recertification - ICFs/IID (Rev. 91, Issued: 09-27-13, Effective: 09-27-13, Implementation: 09-27-13) • The regulation at §442.15 provides that provider agreements for ICF/IID’s would remain in effect as long as the facility remains in compliance with the Conditions Of Participation (COP’s). Regulations at §442.109 through §442.111. • Beginning on May 16, 2012, ICF/IID’s are no longer subject to time-limited agreements. However, they are to be surveyed for re-certification an average of every 12 months and at least once every 15 months. • If during a survey the survey agency finds a facility does not meet the standards for participation the facility may remain certified if the survey agency makes two determinations – The facility may maintain its certification if the survey agency finds Immediate Jeopardy doesn’t exist, and if the facility provides an acceptable plan of correction. • An ICF/IID may be decertified under procedures outlined in Section 3012 of the State Operations Manual. More specifically, a facility may be decertified if an immediate jeopardy finding remains unabated after 23 days or if it fails to regain compliance with conditions of participation after 90 days. ICF/IID’s will be subject to survey an average of every 12 months and at least every 15 months, the same period that is applied to Nursing Homes. If a survey agency finds a facility deficient in meeting the standards for ICFs/IID, as specified under subpart I of part 483 of chapter 42, the agency may continue certification of the facility for Medicaid purposes as long as the agency finds the facility’s deficiencies do not constitute immediate jeopardy or seriously limit the facility’s capacity to provide adequate care. In addition, the agency must find the facility’s plan of correction is acceptable. The survey agency may conduct a revisit to assure the conditions for continued certification are maintained. A facility’s certification may be terminated according to procedures set out in Section 3012 of the State Operations Manual.