Home & Community-Based Services Waiver
The State of New Mexico, Human Services Department, Medical Assistance Division (HSD/MAD) obtained a waiver from the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services to provide Home and Community-Based Services (HCBS) programs to individuals that require long-term supports and services so, that the individuals may remain in their family residence, in their own home or in community residences. The programs serve as alternatives to institutional care. New Mexico has five HCBS waiver programs: Acquired Immunodeficiency Syndrome (AIDS); Developmental Disabilities (DD); Disabled and Elderly (D&E), Medically Fragile (MF) and Mi Via, a self directed waiver (for more information, click on Mi Via at the HSD/MAD website ).
The Developmental Disabilities Waiver (DD Waiver)
The Developmental Disabilities Waiver (DD Waiver) serves individuals with mental retardation or specific related conditions and developmental disabilities that occur before the age of 22. Services provided through the DD Waiver are case management, personal care, residential and day habilitation, supported employment, community access, environmental modification, behavior support consultation, non-medical transportation, nutritional counseling, personal plan facilitation, tier III crisis support, goods and services, private duty nursing and dental care as well as physical, speech and occupational therapies. The New Mexico Department of Health, Developmental Disabilities Supports Division (DOH/DDSD) administers the DD Waiver.
Coordination of Long-Term Services (CoLTS) 1915 (c) Waiver Application
The Coordination of Long-Term Services (CoLTS) (c) Waiver replaces the Disabled and Elderly Waiver (D&E Waiver). CoLTS (c) Waiver (CCW) benefits and services remain essentially the same as they were under the D&E Waiver. CoLTS (c) Waiver serves individuals who are aged, blind or disabled. Services provided through the CoLTS (c) Waiver include caregiver services in the home (delivered to CCW recipients through the Personal Care Option program), adult day health, respite care, assisted living, emergency response and environmental modifications. Community transition services, private duty nursing, physical therapy, occupational therapy speech/language therapy services for adults are also covered under the CoLTS (c) Waiver. While case management services are not included in the CoLTS (c) Waiver, recipients receive service coordination services through their respective CoLTS Managed Care Organizations (MCOs). The New Mexico Aging & Long-Term Services Department (ALTSD) administers the CoLTS (c) Waiver.
The Acquired Immunodeficiency Syndrome Waiver (AIDS Waiver)
The Acquired Immunodeficiency Syndrome Waiver (AIDS Waiver) serves individuals who are disabled due to a diagnosis of Acquired Immune Deficiency Syndrome. Services provided through the AIDS waiver are case management, homemaker/personal care and private duty nursing by registered nurses and licensed practical nurses. The New Mexico Department of Health (DOH) administers the AIDS waiver.
The Medically Fragile Waiver (MF Waiver)
The Medically Fragile Waiver (MF Waiver) serves individuals who have been diagnosed with a medically fragile condition before reaching age 22, and, who have a developmental disability or delay or who are at risk for developmental delay. A medically fragile condition is defined as a chronic physical condition which results in a prolonged dependency on medical care for which daily skilled nursing intervention is medically necessary. Services provided through the MF Waiver are 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 New Mexico Department of Health, Developmental Disability Services Division (DOH/DDSD) administers the MF Waiver.