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Intermediate Care Facilities For Persons with Intellectual Disabilities Application Package


The application package for Intermediate Care Facilities for Persons with Intellectual Disabilities must include all documents listed in the chart below.  The Intermediate Care Facilities staff review each application package and determines an applicant’s eligibility for a license.  Please follow the instructions for the Printable Forms and include all forms in the application package in hard copy format.

Printable Forms:  Print the form, fill it out, and include it with the application package.  Specific instructions are provided within each form below.

Application Package Documents

Contact Phone: 
(877) 672-2174
Contact Fax: 
(202) 727-8471
Contact TTY: 
Office Hours: 
Monday to Friday 8:15 am to 4:45 pm
Service Location: 

Health, Department of

GIS Address: 
899 North Capitol Street, NE