Many of us started supporting people with developmental disabilities in residential settings. These were known as ICF/MR and a specific set of regulations and interpretive guidelines were the guidelines for active treatment and quality of life. The interpretative guidelines have not been updated since 1996. CMS started the update process two years ago and it is taking longer than expected. Since several items (such as the Compliance Principles and probes) are being moved to Appendix J – ICF/MR Survey Process, it will also need to be updated before the guidelines can be released.

On March 22, 2011, CMS posted the first two letters for official release:

  • Clarification of Self-Administration of Medications at 42 CFR §483.460(k)(4) – Intermediate Care Facilities for the Mentally Retarded (ICFs/MR)
    Click Here to download the letter

Clarification of Reporting Mistreatment, Neglect and Abuse and Injuries of Unknown Source at 42 CFR § 483.420(d)(2) – Intermediate Care Facilities for the Mentally Retarded (ICFs/MR) Click here to download the letter

I believe it is prudent to be aware of these changes as these Federal interpretations may find there way into State wiaver rules. More to come.