Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) Survey Protocol – State Operations
Manual (SOM) Appendix J Revised
The Centers for Medicare & Medicaid Services (CMS) has revised the survey protocol in Part I of Appendix J of the SOM.
• The survey process will refocus the surveyor’s time on increased observation time and more effective use of interviews and
client record reviews.
• The fundamental survey is revised to be a focused fundamental survey accomplished through the concept of key standards and
corresponding standards within the Conditions of Participation (CoPs).
• The survey procedures for tasks one, two and three are revised.