Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 261 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR RELATED CONDITIONS (ICF/IID) PROGRAM-CONTRACTING
Subchapter E - ELIGIBILITY, ENROLLMENT AND REVIEW
Section 261.238 - ICF/MR Level of Care I Criteria
Universal Citation: 26 TX Admin Code ยง 261.238
Current through Reg. 49, No. 38; September 20, 2024
(a) To meet the LOC I criteria, a person must:
(1) meet
the following criteria:
(A) have a full scale
intelligence quotient (IQ) score of 69 or below, obtained by administering a
standardized individual intelligence test; or
(B) have a full scale IQ score of 75 or
below, obtained by administering a standardized individual intelligence test,
and have a primary diagnosis by a licensed physician of a related condition
that is included on the list of diagnostic codes for persons with related
conditions that are approved by DADS and posted on its website at
www.dads.state.tx.us; and
(2) have an adaptive behavior level of I, II,
III, or IV (i.e., mild to extreme deficits in adaptive behavior) obtained by
administering a standardized assessment of adaptive behavior.
(b) If a person has a sensory or motor deficit for which a specially standardized intelligence test or a certain portion of a standardized intelligence test is appropriate, the appropriate test or portion thereof and the resultant score should be used.
(c) If a full scale IQ score cannot be obtained from a standardized intelligence test due to age, functioning level, or other severe limitations, an estimate of a person's intellectual functioning should be documented with clinical justification.
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