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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M02 May 2015 Subchapter Subject Page ending with Page M0280 INSTITUTIONAL STATUS REQUIREMENTS M0280.100 2

E. Institution for Individuals with Intellectual Disabilities An “institution for individuals with intellectual disabilities” means an institution that is primarily for the diagnosis, treatment, or rehabilitation of individuals with Intellectual Disabilities or persons with related conditions that provides, in a protected residential setting, ongoing evaluation, planning, 24-hour supervision, coordination , and integration of health or rehabilitative services to help each individual function at his greatest ability. An intermediate care facility for individuals with intellectual disabilities (ICF-ID) is not an IMD. Therefore, an individual under age 65 who is in an ICF-ID meets the institutional status eligibility requirement. F. Medical Facility A medical facility is an institution that: • is organized to provide medical care, including nursing and convalescent care,

• has the necessary professional personnel, equipment, and facilities to manage the medical, nursing and other health needs of patients, • is authorized under state law to provide medical care, and • is staffed by professional personnel who are responsible to the institution for professional medical and nursing services. G. Public Institution (Facility) A public institution is an institution that is the responsibility of a governmental unit or over which a governmental unit exercises administrative control, and which is NOT a medical facility. The following are NOT public facilities for this section's purposes: • a medical facility, including a nursing facility; • a publicly operated community residence (serves no more than 16 residents); • a child care institution, for children who receive foster care payments under Title IV-E, that accommodates no more than 25 children; • an institution certified as an ICF-ID for individuals with mental retardation or related conditions. H. Publicly Operated Community Residence A publicly operated community residence is a public residential facility (institution) with 16 beds or less, that provides some services beyond food and shelter such as social services, help with personal living activities or training in socialization and life skills. Occasional medical or remedial care may also be provided. Publicly operated community residences do NOT include the following facilities even though these facilities have 16 or fewer beds: