CMS SOM App. J, Tag W159

monitored by a qualified intellectual disability professional who –

Guidance §483.430(a)

The position of qualified intellectual disability professional (QIDP) is unique to the ICF/IID

program. This position can be central to the overall responsiveness and effectiveness of an active

treatment program. Whether a supervisory or non-supervisory position, the QIDP is responsible

to:

• Orchestrate all facets of the active treatment effort, including the IDT creation of relevant

IPPs tailored to meet individual client needs;

• Effectively coordinate internal and external program services and supports to facilitate

the acquisition of client skills and adaptive behaviors; and

• Promote competent interactions of residential staff with clients in program

implementation and behavior management.

Breakdowns in the provision of needed services does not automatically equate with deficient

practice with QIDP regulations. Non -compliance with QIDP regulat ions exist where the facility

has failed to provide a QIDP or sufficient numbers of QIDPs to effectively perform these required

functions or the QIDP(s) has failed to assertively attempt to integrate, coordinate and/or monitor

each client’s active treatment program.

Elements of integrating, coordinating and monitoring active treatment programs include:

• Routinely observing clients across settings in program areas to assess effectiveness of

program implementation and consistency of training effort to determine effectiveness of

IPPs and making timely modifications to facilitate achieving desired skills or goals.

• Routinely interacting with program staff across settings to assist in determining the

effectiveness and continued relevance of program plans in meet ing identified client

needs.

• Determining the need for program revision based on client performance.

• Identifying inconsistencies in training approaches or programs not being implemented as

written and facilitating the resolution of these inconsistencies.

• Assures follow-up occurs for any recommendation for services, equipment or programs

so that needed services and supplies are provided in a timely manner to meet the client’s

needs.

The number of QIDPs will vary depending on such factors as the number of clients the facility

serves, the complexity of needs manifested by these clients, the number, qualifications and

competencies of additional professional staff members, and whether or not other duties are

assigned to the QIDP function.

The QIDP function may not be delegated to other employees even though the QIDP co-signs

their work.