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). The ICF/IID licensing standards are located in 26 TAC Chapter 551.


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 J contains information on certification requiremets for ICF/IID programs and the survey process.