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INSTITUTION FOR MENTAL DISEASES (IMD): These facilities generally provide diagnosis, treatment or care for individuals with mental diseases. Residents of these facilities must meet the following age requirements: 1. Must be age 65 or older, or under age 21; 2. Residents under 21 who are receiving inpatient psychiatric services are considered institutional residents until they are unconditionally released or reach age 21, whichever occurs first. 3. Individuals aged 21 and older are no longer considered institution residents when released or on convalescent leave. They may be eligible for non-institutionalized Medicaid coverage. INTERMEDIATE CARE FACILITY (ICF)/NURSING HOME: Nursing homes provides medical services at a level above room and board. Residents must be admitted by a physician and continuously remain under a physician's care. INTERMEDIATE CARE FACILITY FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES: (ICF/IID): An ICF/IID provides intermediate care to individuals with intellectual disabilities or those who have cerebral palsy or other developmental diseases. ICF/IID residents may be eligible if they meet all eligibility requirements. SKILLED NURSING FACILITY (SNF)/NURSING HOME: A Skilled Nursing Facility provides skilled nursing care to individuals admitted by a physician and who remain in need of daily services that can only be provided on an in- patient basis. SWING BEDS: When a nursing home bed is not available within a 25-mile radius, approved hospitals may provide temporary long-term care services. The cost of swing bed care may be used to reduce the client’s spend down. NOTE: Medicaid requires a pre-admission screening before covering the cost of swing bed services. Effective Date: July 01, 2024