Medicaid Waiver Programs

Report incidents or concerns with long-term care facilities and hospitals.

Our mission is to promote health and wellness, improve health outcomes, and assure safety net services for all people in New Mexico.

Services includes Birth and Death certificates, Medical Cannabis program, Women Infants, and Children (WIC), Immunization program, Health Facility Licensing & Certification, and Developmental Disabilities.

The Global Down Syndrome Foundation and the National Down Syndrome Congress have teamed up to publish the second edition of the groundbreaking Prenatal Testing Pamphlet for Down syndrome, available in English, Spanish and Icelandic. The second edition, created from the first national survey of pregnant women and medical professionals, is easily accessible electronically, or in print at no cost.

The Developmental Disabilities Supports Division (DDSD) Intake and Eligibility Bureau (IEB) is comprised of the Central Registry and the Pre-Admission Screening and Resident Review (PASRR) units. Once you have been determined to match the criteria for the DD Waivers (DD Waiver or Mi Via), your name will be added to the Central Registry wait list. You will be offered services through the DD Waiver based on your registration date when there is funding available. While you are on the wait list, you may be eligible for other services, including State General Funds (SGF), Centennial Care Community Benefits, and other community resources.

The NM Division of Health Improvement is the regulatory entity providing compliance oversight for (operates in 4 locations across NM and an office in Santa Fe): Licensed Health Facilities, Home and Community-Based Medicaid Waiver providers, Conducts Investigations of Abuse, Neglect & Exploitation* (*Click on link for more information), Operates the Employee Abuse REGISTRY (EAR), Operates the Certified Nurse Aide Registry (NAR), and Certified all clinical Laboratories operating in New Mexico.

(*State Fiscal Year 2021 ANE Reporting Guide - https://www.nmhealth.org/publication/view/guide/2188/ and the contact information for SE, NW, NE, SE will be in the last page; and in Spanish: https://www.nmhealth.org/publication/view/guide/2189/).

Mi Via, which means “my path”, “my way” or “my road”, is designed to assist you in managing your own services and supports to live your best life. Mi Via is about choosing self-direction over your home and community-based services, support and goods within your approved plan and budget. The Mi Via Waiver program provides an array of living supports (for adults only), community membership supports, health and wellness supports and other related supports and goods.

Services include Consultant/Support Guide Services, Personal Plan Facilitation, Community Membership Supports, Living Supports, Health and Wellness Services, Other Related Goods and Supports, and Services for Children.

The Medically Fragile Waiver Program is a Home and Community Based Medicaid Waiver. The program is designed to serve children and adults with case management, home health care, respite care, private duty nursing, physical, occupational and speech therapies, behavior support consultation, nutritional counseling and specialized medical equipment and supplies.

The DD Waiver program provides an array of residential, in home, community, employment, therapeutic and family support services for children and adults. DD Waiver services are intended to add to, not replace, other supports a person has like medical services through New Mexico’s Medicaid State Plan, natural supports and other community services.

Our mission is to promote health and wellness, improve health outcomes, and assure safety net services for all people in New Mexico.

Services includes Birth and Death certificates, Medical Cannabis program, Women Infants, and Children (WIC), Immunization program, Health Facility Licensing & Certification, and Developmental Disabilities.

https://www.nmhealth.org/location/public/
The Department of Health also has sites in Albuquerque, Reserve, Dexter, Roswell, Grants, Raton, Cannon AFB, Clovis, Ft Sumner, Anthony, Chaparral, Hatch, Las Cruces, Sunland Park, Artesia, Carlsbad, Silver City, Santa Rosa, Lordsburg, Hobbs, Lovington, Ruidoso, Los Alamos, Columbus, Deming, Gallup, Mora, Alamogordo, Holloman AFB, Tularosa, Tucumcari, Española, Tierra Amarilla, Portales, Bloomfield, Farmington, Las Vegas, Bernalillo, Cuba, Santa Fe, T or C, Socorro, Taos, Estancia, Clayton, Belen, and Los Lunas.

State General Funded Services
The Developmental Disabilities Supports Division (DDSD) provides an array of services that are available to children and adults with Intellectual and Developmental Disabilities and their families. Funds are available based on Legislative appropriation from the State General Funds. There may be waiting lists for these services due to the limited availability of these funds. SGF services are available to individuals who are not currently served through one of the Medicaid Waiver Programs (Developmental Disabilities Waiver, Mi Via Waiver, Medically Fragile Waiver).

Services
DDSD has provider agreements in place statewide with provider agencies for the following services:

Respite Services
Respite is a flexible family support service that provides short term, temporary care to people with disabilities or children or adults with intellectual or Developmental Disabilities (IDD). This service allows families to take a break from the daily routine of care giving.

Residential Services
The Residential Services available under the State General Fund include ‘Supported Living’ and ‘Independent Living’ and are available to adults, age 22 or older, with an intellectual or Developmental Disability.

Day Services
Day Services available through the State General Fund include both ‘Supported Employment ‘and ‘Day Services’. These services are available to adults age 22 or older, who have an Intellectual / Developmental Disability (IDD) Day services include supporting the individual with IDD to engage in purposeful work, learning, skill development, or community inclusion activities that are directly linked to their Individual Service Plan (ISP).

Provides early childhood and adult services.

Adult Services:
Living Supports - Family Living
Community Integrated Employment
Customized Community Supports
Living Supports - Supported Living
Respite Services

Child Services:
Special Instruction & Developmentally Appropriate Activities
Service Coordination
Speech & Language Therapy
Physical Therapy
Occupational Therapy
Vision Services
Hearing Services
Nutrition Services
Social Work Services
Psychological Services
Family Education & Counseling
Medical-Related to Diagnosis & Evaluation
Nursing Services
Health Services
Transportation Services
Respite
Center-Based Playgroup - Ages 2-3 years of age

Using Equine movement as part of Occupational Therapy and Physical Therapy, aka Hippotherapy

Eligibility/Ages: 3 years to adulthood; Initial screening to determine eligibility

Insurance Accepted: Presbyterian, DD Waiver, Mi Via Waiver, Private Pay, and Centennial Care/Medicaid MCO: Presbyterian

Providing Quality Case Management, Consulting, Guardianship, and Support Broker Services
to New Mexico.

Peak Developmental Services provides Developmental Disabilities Waiver, Mi Via waiver, and Supports Waiver services.

Me Town provides Mi Via Waiver and Medicaid Self-Directed Community Benefit services.

Los Amigos provides Brain Injury Coordination, Mi Via Waiver, Centennial Self Directed, and Supports Waiver services.

Self-Directed Choices consultants and administration have diverse experience helping to educate, assist, and guide individuals in all areas of New Mexico. We embrace self-direction principles and inclusive communities. Self-Directed Choices promotes the Know Your Rights campaign and provides information to people and their supports. We support persons of all ages. Our consultants are well-versed to serve people who speak Spanish and Navajo.

Excel's case management services are limited to DD waiver program participants.

We contract with the state of New Mexico to provide service coordination through the Developmental Disabilities Medicaid Waiver (DD Waiver).

Support clientele by providing education, advocating, and coordinating services through a variety of programs.

Primary Programs:
To provide case management services to individuals in San Juan County through the Developmental Disabilities Medicaid Waiver, disabled and Elderly Medicaid Waiver, and the Traumatic Brain Injury program.

Care Network is a provider for New Mexico Guardianship Services, Mi Via Consulting, and Brain Injury Services Fund Service Coordination under contracts with the State of New Mexico. We also offer Private Guardianship services and service as Fiduciaries for Veterans Affairs clients.

Since 2002, Consumer Direct New Mexico has provided superior customer service and customized care plans to unique people just like you, in every county throughout the state of New Mexico. We have helped thousands of people succeed in self-directing their own quality care while remaining in their homes and communities.

Consumer-directed care is available to individuals who need attendant care services in their homes. Self-directed care puts you in control, allowing you to arrange and direct your own services.

You select, train and manage your caregiver who may be a trusted friend, neighbor, or relative. Individuals must be capable of directing their own services or arranging for a representative to act on their behalf.

Mandy's Farm provides residential, employment, and day services as well as the AgrAbility, VAMOS, and horseback riding programs for individuals with intellectual and/or developmental disabilities.

The ADRC is here to assist elders, persons with disabilities and caregivers to find services and resources to help them live well and independently.

Information & Assistance (I&A)
Long-Term Options Counseling
Benefits Counseling
Healthcare Options
Centennial Care Medicaid Waiver for Home & Community-Based Services
(Our ADRC handles registry for the state Medicaid waiver.)
Health Care Fraud Prevention
Prescription Drug Assistance (PDA)
Community Information & Educational Presentation
New Mexico Social Services Resource Directory

Since 1957, ARCA has provided opportunities for individuals with intellectual, developmental, and cognitive disabilities to enjoy great lives. ARCA is a private not-for-profit organization opening doors for over 700 children and adults with intellectual, developmental, and cognitive disabilities to live great lives. Since 1957, our services continue in the spirit of our founding Albuquerque families. We provide customized opportunities for individuals with intellectual, developmental, and cognitive disabilities to live, work and enjoy rich recreational experiences in valued community roles.

Services include Acquired Brain Injury Services, Independent Living, Supported Living, Family Living, InterCare Living, Meaningful day Program, Supported Employment, ARCA Janitorial Services, La Paloma Greenhouse, SMART Living Program, Health Services, Health Promotion Initiatives, Foster Care, Prader-Willi Syndrome Project, and Respite.

The Developmental Disabilities Supports Division (DDSD) oversees three home and community based Medicaid waiver programs. These include the Developmental Disabilities Waiver (Traditional Waiver), the Medically Fragile Waiver (Traditional Waiver), Mi Via Self-Directed Waiver and the Supports Waiver. Our Intake and Eligibility Bureau manages the Central Registry for individuals waiting for services. DDSD also provides several State General Funded Services.

DDSD administers the Family Infant Toddler (FIT) Program, in accordance with the Federal Individuals with Disabilities Education Act (IDEA), for children birth to three years old with or at risk for developmental delay or disability.

UNM Center for Development and Disability (CDD) Supports Waiver program provides a Community Support Coordinator (CSC) to provide Support Waiver participants of all ages as they manage their budget and plan for services. Our Supports Waiver CSC’s are experienced, knowledgeable, and responsive. They are uniquely connected to other CDD resources and programs, including the Information Network and Library and community agencies and local resources. If you, or someone you know, has received a support waiver offer, consider selecting UNM Center for Development and Disability. The UNM CDD Supports Waiver program works in accordance with the mission of the CDD, which is the full inclusion of people with disabilities and their families in their community by engaging individuals in making life choices, partnering with communities to build resources, and improving systems of care.

Our Community Support Coordinators work with participants to:
a. Clearly explain the Support Waiver process
b. Listen to the needs, find options, and help participants make informed decisions.
c. Provide guidance, support, and assistance as participants develop and implement their plan and budget
d. Teach participants how to use the computer systems and complete paperwork
e. Troubleshoot any issues that may come up with the participant

UNM Center for Development and Disability (CDD) Mi Via Consultants program provides consultant services for Mi Via participants of all ages as they self-direct their plan for services and budget. Our Mi Via Consultants are experienced, knowledgeable, and responsive. They are uniquely connected to other CDD resources and programs, including the Information Network and Library and community agencies and local resources. If you, or someone you know, is considering moving to the Mi Via Waiver or looking for a Mi Via consultant agency, consider selecting UNM Center for Development and Disability Mi Via Consultants.

Our Mi Via Consultants work with participants to:

a. Clearly explain the Mi Via process;
b. Listen to the needs, find options, and help participants make informed decisions;
c. Provide guidance, support, and assistance as participants develop and implement their plan and budget;
d. Teach participants how to use the computer systems and complete paperwork;
e. Troubleshoot any issues that may come up with the participant.

The UNM CDD Mi Via Consultants program works in accordance with the mission of the CDD, which is the full inclusion of people with disabilities and their families in their community by engaging individuals in making life choices, partnering with communities to build resources, and improving systems of care.

We provide registered nurse case management/service coordination services statewide for medically fragile children and their families since 1985.
In New Mexico, children who have a high level of dependence on medical technology such as ventilators, tracheostomies, oxygen, feeding tubes, dialysis, intravenous medication and require total care for all their daily needs are identified as medically fragile.

Medically Fragile Case Management Program (MFCMP), the Medically Fragile Waiver, and community services support families in their decision to care for their medically fragile child in their home.