The transmittal is to inform providers that operate Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID) of the status of State Plan Amendment (SPA) establishing reimbursement methods. This transmittal  provides them with information and timeline to prepare the acuity determination packages for the implementation of the ICF/IDD SPA by its effective date of October 1. 2012. Additionally, there is a quick guide attached to the transmittal with detailed information on each acuity level and the required document