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Form 8578 Intellectual Disability or Related Conditions Assessment and Instructions Update

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An update to Form 8578 Intellectual Disability or Related Conditions Assessment and Instructions is now available.

Changes include formatting and accessibility updates, and edits to field (72) with the addition of a signature line and licensure information for the attesting APN/PA. This field is applicable for ICF/IID only and has been corrected to match the electronic version in the Long-Term Care Online Portal.

Click here for the new form.