Home
Forms Library
ICF IID Level of Care Eligibility Determination (LCED) Form

ICF IID Level of Care Eligibility Determination (LCED) Form 2025

ICF IID Level of Care Eligibility Determination (LCED) Form Preview on Page 1

Show details

4.7 out of 5

20 votes

The document is a Level of Care Eligibility Determination (LCED) form from the New York Office for People with Developmental Disabilities, designed to assess eligibility for Intermediate Care Facilities for individuals with intellectual disabilities. It includes sections for personal information, diagnosis criteria, health care needs, and adaptive behavior deficits. The form requires signatures from qualified personnel and outlines the process for annual redetermination of eligibility.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to rapidly redact ICF IID Level of Care Eligibility Determination (LCED) Form online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Dochub is a perfect editor for updating your forms online. Follow this straightforward guide to edit ICF IID Level of Care Eligibility Determination (LCED) Form in PDF format online free of charge:

Sign up and sign in. Create a free account, set a secure password, and go through email verification to start managing your templates.
Upload a document. Click on New Document and choose the file importing option: upload ICF IID Level of Care Eligibility Determination (LCED) Form from your device, the cloud, or a protected URL.
Make changes to the template. Use the upper and left panel tools to redact ICF IID Level of Care Eligibility Determination (LCED) Form. Insert and customize text, images, and fillable areas, whiteout unneeded details, highlight the significant ones, and provide comments on your updates.
Get your paperwork accomplished. Send the sample to other individuals via email, create a link for quicker document sharing, export the template to the cloud, or save it on your device in the current version or with Audit Trail included.

Discover all the benefits of our editor right now!

See more ICF IID Level of Care Eligibility Determination (LCED) Form versions

We've got more versions of the ICF IID Level of Care Eligibility Determination (LCED) Form form. Select the right ICF IID Level of Care Eligibility Determination (LCED) Form version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2020	4.7 Satisfied (20 Votes)
2011	4.3 Satisfied (38 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What are the eligibility requirements for an ICF IID institutional level of care?

Eligibility for ICF/ID Benefit ICF/ID is available only for individuals in need of, and receiving, active treatment (AT) services. AT refers to aggressive, consistent implementation of a program of specialized and generic training, treatment and health services.