The purpose of this memorandum is to issue a revised Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) Level of Care Eligibility Determination (LCED) and annual redetermination form and instructions for completing level of care requirements for individuals with an intellectual and/or developmental disability (I/DD) who are seeking to access or maintain Home and Community Based Services (HCBS) Waiver, Comprehensive Care Coordination and other State Plan Services. This revised ICF/IID LCED form and instructions supersedes the prior form and instructions outlined in the Administrative Memorandum (ADM) #2011-01.