ICF Placement Process

Intermediate Care Facilities

Quest, Inc. Intermediate Care Facilities (ICFs) offer a nurturing home environment for individuals with developmental disabilities who are medically complex.

Quest operates three ICFs, two in the Tampa region and one in Orlando. ICF care is 100% Medicaid funded. There is no ability to serve individuals through other funding sources. ICF long-term Medicaid Waivers are approved through the Agency for Persons with Disabilities (APD). By state statute, APD must approve or deny an application for a long-term waiver within 90 days.

Listed below is the placement process based on an individual’s long-term waiver status.

APD Referral

If a person currently has a long-term waiver and APD is facilitating the referral:

• Referral goes out to multiple agencies from APD, typically by region
• Quest reviews referral for appropriate fit for a Level 2 client with no high-behavior needs
• Quest meets with viable placements for in-person screening
•  Quest coordinates with family/guardians the client’s transition into their new home
• Guardians and family members have a choice in placement and may request transfer to different ICF locations

Community Placement with Long-term Waiver

If a person is seeking a transfer from a current ICF, is in the hospital, or their level of care has risen since previous placement:

• Inquiry is placed into Quest, or garnered through outreach
• Quest Residential Liaison solicits care plan
• If bed is open and client is a viable placement, an assessment visit is scheduled
• If approved for placement, Directors and nurses work to transition client into facility

Community Placement with No Current Long-term Waiver

If a person may qualify as needing long-term 24-hour nursing care, is medically complex and has a developmental disability, but does not currently have a long-term waiver:

• Inquiry is placed into Quest
• Quest apprises inquiry contact of APD long-term waiver process and provides APD contact info
• Quest Residential Liaison keeps in touch monthly on progress of waiver application
• Quest Residential Liaison solicits care plan
• If bed is open and client is successfully granted a long-term waiver, an assessment visit is scheduled
• If approved for placement, site directors and nurses work to transition client into facility

We Can Assist

If you are seeking information about placement into one of Quest’s Intermediate Care Facilities, please contact us.