ICF/IIDs need managed IT that keeps their I/DD EHR and eMAR, usually Therap or MediSked, running across every residential unit, day program, and central office. Core services include HIPAA-grade cybersecurity, monitored backup and disaster recovery, network and Wi-Fi management, a help desk for direct support staff, and vCIO planning tied to CMS certification. Because active treatment documentation is continuous, uptime and rapid support matter more than in a typical office.