Job & Family Services Ohio Medicaid

ICF-MR Individual Assessment Form
Provider Software

Intermediate Care Facilities for the Mentally Retarded (ICFs-MR) are required to submit quarterly assessments (IAFs) to the Ohio Department of Job and Family Services in accordance with the Ohio Administrative Code Rule 5101:3-3-73.1. (http://emanuals.odjfs.state.oh.us/emanuals/ (see Long-Term Care Manual)). Providers have the option of using the state-sponsored ICF-MR software package available to all providers at no charge.

For questions about this software or your facility scores, please call Josh Anderson, Medical Health Systems Administrator, at DODD, IAF Software Help Desk: 614-387-0576.