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The Health Care Authority’s mission is: We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.
Home and Community-Based Medicaid Waiver Programs
The 1915c Home and Community-Based Medicaid Waiver Programs include the Developmental Disability Waiver (DDW) (i.e. Living Care Arrangements, Community Inclusion supports and employment services, DDW case managers, Mi-Via Waiver Providers, Medically Fragile Waiver providers, and Support Waiver providers).
The DDSD administers and contracts with a variety of provider agencies throughout the state to provide a variety of living care arrangements, community inclusion supports, employment services, case management services and other waiver services. For more information about services and providers, please visit the Developmental Disabilities Supports Division section of our website.
DHI has two bureaus that work closely with DDSD and the Medicaid home and community based waiver providers. The Incident Management Bureau (IMB) conducts investigations of abuse, neglect and exploitation, suspicious injuries, environmental hazards and death. The Quality Management Bureau (QMB) conduct compliance surveys of Medicaid home and community based waiver providers to ensure that individuals are receiving the services and supports as outlined in services plans ensuring required healthcare needs are met and Individuals are free from ANE. QMB also ensures agencies are in compliance with required DDSD standards, regulations, rules and policies.
Regulations
Please visit the Regulations page for a complete listing of the rules and regulations which govern the majority of what we do.
Quality Improvement Tools & Resources
- Quality Improvement Series – Affinity Diagrams
- Quality Improvement Series – Pareto Chart
- Quality Improvement Series – Force Field Analysis
- QMB SMART Objectives
- Attachment A Plan of Correction Process 2025
- ICF Testing Guidance
- Community Programs ANE Reporting Guide for SFY21
-Abuso, Negligencia y Explotación Información Guía (En Espanol) - More tools and resources can be found HERE.
Publications
- Incident Management Bureau Annual Report SFY24
- Incident Management Bureau Annual Report SFY23
- Incident Management Bureau Annual Report SFY22
- Incident Management Bureau Annual Report SFY21
- Incident Management Bureau Annual Report SFY15
- Incident Management Bureau Annual Report SFY16
- Incident Management Bureau Annual Report SFY17
- Incident Management Bureau Annual Report SFY18
- Incident Management Bureau Annual Report SFY19
- Incident Management Bureau Annual Report SFY20
- Nursing Home Customer Satisfaction Survey Results
- More publications can be foundHERE.