Waiver: Each State can request a “Waiver” from the Federal policy that Medicaid will only pay for “facility based” services. The Waiver also stipulates the percentage of money the Federal government puts toward the program (currently about 80%) and the amount the State must come up with for a match. New Mexico has several “home and community based” Waiver programs, including the Developmental Disabilities Medicaid Waiver, the Medically Fragile Medicaid Waiver, the HIV/Aides Medicaid Waiver, and the Disabled and Elderly Medicaid Waiver. The DD Waiver is for people with developmental disabilities, as defined by the Federal government.

State General Funds: State General Funds can pay for residential, vocational , and behavioral services for people on the waiting list who meet the State definition of developmental disability- they contract with four local service providers (PMS Roundtree for Early Intervention, PMS Shield for adult Vocational, Mentor for adult Residential, and Mosaic for adult residential and vocational).

EPSDT & ATCM: There are also two Medicaid programs called EPSDT (Early Periodic Screening and Diagnostic Testing, ages 4 - 21) and ATCM (Adult Targeted Case Management, ages 22 and up), that offer case management services and easier access to medical treatment and home healthy care. EPSDT and ATCM can be provided through either straight Medicaid, or the Salud! HMO. EPSDT Personal Care can also provide assistance through any home health agency. With these services you are required to have a Case Manager.

PCO: In addition, the Personal Care Option can provide assistance for adults with disabilities who have Medicaid.

The Information Center for New Mexicans with Disabilities and BabyNet has a new online Disability Resource Directory, a searchable database of New Mexico programs, providers and resources at http://cdd.unm.edu/InfoCenterNM To ensure up-to-date information, the database is updated regularly by Information Center staff.  The directory also allows provider agencies to add their contact information. For more information, contact the Information Center at 1-800-552-8195 or 505-272-8549.

The Center for Development and Disabilities’ Tip Sheets http://cdd.unm.edu/linc/TipSheets/ give information on various New Mexico Medicaid and state programs, their websites and how to contact someone to learn more. Click on the following links to download each Tip Sheet. These are VERY helpful!

Applying for the Developmental Disabilities (DD) Waiver

Allocation to the Developmental Disabilities (DD) Waiver

Family Infant Toddler (FIT) Program

Medically Fragile Waiver

State General Funds

Traumatic Brain Injury (TBI) Program