Tri-County Services

Intermediate Care Facility (ICF/IID)

The Intermediate Care Facility for persons with an Intellectual Disability (ICF/IID) program is long-term care for adults with intellectual and developmental disabilities.

The Intermediate Care Facilities for Individuals with an Intellectual Disability (ICF/IID) program is a community-based residential service option provided in homes with six or fewer individuals. This ICF/IID program provides similar services provided in an HCS residential home. The services include staff available to assist individuals with identified needs, access to medical care, the opportunity to attend Day Habilitation or similar programs, and participation in community activities.

If you choose to access the ICF/IID residential option, you are able to keep your current placement on interest lists for home and community-based waiver services, such as HCS, Texas Home Living, Community Living Assistance and Support Services, and Deaf Blind with Multiple Disabilities programs.

For information about the ICF/IID program, please visit:

Information at allows you to search ICFs/IID homes with vacancies by county, city or zip code. It also lists any special services or areas of expertise.

Tri-County has 8, 6-bed homes in our 3 county area. Three of these homes are located in Montgomery County, 4 homes are located in Liberty County (2 in the Cleveland area and 2 in the Liberty area) and 1 home is in Walker County. Each of these homes allow for our residents to be in the least restrictive environment, while still having 24-hour supervision and staff assistance.

These 8 homes are designed for persons with different levels of need with some homes prepared to serve persons who also have significant physical disabilities. Residents must have a diagnosis of mental retardation or related conditions and must meet the additional criteria for ICF/IID homes.

Tri-County occasionally has openings in these homes and will advertise these openings on the Tri-County home page.
If you are interested in this residential option, contact us at 936-521-6200. We will assist you in applying for the service. The application process for admission to an ICF/IID involves sharing an individual’s diagnosis and medical and support needs with ICF/IID providers to ensure they have the appropriate services and resources to best meet an individual’s needs.

Our ICF/IID Homes - click the photos below to see the full view


ICF/IID #1 Shenandoah


ICF/IID #2 Conroe


ICF/IID #3 Conroe


ICF/IID #4 Liberty


ICF/IID #5 Liberty


ICF/IID #6 (Female) Cleveland


ICF/IID #7 (male) Ceveland


ICF/IID #8 Huntsville