Forms, Checklists and Regulations for ICF Program Plans

This page is designed for providers who are familiar with the ICF Program Plan process. If you are new to this process, please visit the Program Plan Information and Development web page.

FORMS:

CHECKLISTS:

REGULATIONS, STATUTE, GUIDANCE AND RESOURCES THAT APPLY TO ICF/DD, ICF/DD-N, ICF/DD-H, ICF/DD-CN:

ADDITIONAL REGULATIONS THAT APPLY TO ICF/DD-H ONLY:

ADDITIONAL REGULATIONS THAT APPLY TO ICF/DD-N ONLY:

Please note, this is not an exhaustive list of all regulations, statutes, guidance, and resources associated with these facilities.

WHEN YOUR PROGRAM PLAN IS COMPLETED, SUBMIT THE FOLLOWING TO THE EMAIL OR FAX LISTED BELOW:

  1. Program Plan packet and attachments
  2. Consultants qualifying documents
  3. Completed checklists
California Department of Developmental Services Program and Policy Section Email: HealthFacilities@dds.ca.gov 
Fax:  916-654-2187

The appropriate staff will review your plan for clarity and content and will contact you if changes to your Program Plan are required.

The Nurse Consultant will review and approve the Medication Training Plans, Attendant Training, and Specialized Procedures.

If you have any questions regarding this process, contact the Program and Policy Section by phone:  916-654-1965; or Email:  HealthFacilities@dds.ca.gov.


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Last modified: January 10, 2023