I am eligible. Now what?

Once you have been determined to meet 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 application date when there is funding available.

While you are on the wait list, you will be offered the Supports Waiver while waiting, or you may be eligible for other services, including State General Funds (SGF), Turquoise Care Community Benefits, and other community resources.

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State General Funds

State General Funds (SGF) are a limited amount of services and supports available to individuals who have completed the eligibility process and are on the wait list for services. To find out more information and what State General Funded Services are available, contact your State General Funds liaison at one of our Regional Offices.

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Turquoise Care

If you receive Medicaid, you may be eligible for Turquoise Care. Turquoise Care is the new name for the New Mexico Medicaid Managed Care program. 

If you are not covered by Turquoise Care or are uncertain if you are, contact the Income Support Division’s Information Line at 1-855-309-3766.

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Allocation

When funding is made available and your name comes to the top of the wait list, you will be mailed a Letter of Interest and a Primary Freedom of Choice. The letter will be mailed to the address DDSD has listed in the Central Registry, so it is critical that you contact your Pre-Service Specialist on a regular basis to ensure your contact information is current. If DDSD does not receive a response to the Letter of Interest within 30 days, a closure warning letter will be mailed. This letter advises you that you have 30 days to return the Primary Freedom of Choice or their allocation will be closed.

Primary Freedom of Choice

The Primary Freedom of Choice Form asks you to select between Home and Community Based Services (DD Waivers) or an Intermediate Care Facility for Individuals with Intellectual/Developmental Disabilities (ICF/IDD). If you want to receive services through the traditional DD Waiver or Mi Via Self Directed Waiver, check the box next to Home and Community Based Services. Then, you will also need to indicate whether you want services through the traditional DD Waiver or through Mi Via Self Directed Waiver. If you select the traditional DD Waiver, you will also select a select a Case Management agency and if you select Mi Via, you will select a Mi Via Consultant Agency.

If you do not need waiver services right now, but might in the future, you have the option of placing your allocation on hold. If you chose this option, you would need to notify DDSD when you want the allocation taken off hold and your name would go back on the wait list according to your application date. If you do not want DD Waiver services now or in the future, you have that option as well. If you refuse services, your name will be removed from the wait list and if you want to receive DD Waiver services in the future, you will have to re-apply and complete the eligibility process again.

Next Steps

When the Pre-Service Intake Bureau receives the Primary Freedom of Choice form, copies are made and sent with a letter of allocation to the appropriate parties; including the individual, the chosen case management agency, Medicaid Utilization Review, and the Health Care Authority Income Support Division. You must then be approved both medically and financially before DD Waiver services can begin. Your Case Manager or Mi Via Consultant will help guide you through the medical and financial eligibility.

Financial Eligibility

You must complete a Medicaid Application and turn it into the Income Support Division, even if you already have Medicaid. You will see “DD WAIVER” written on the top of the page, although you will use this form if you selected traditional DD Waiver or Mi Via Waiver.

Return this application to the Income Support Division’s Institutional Care Waiver Unit at:

Central ASPEN Scanning Area
PO Box 830
Bernalillo, NM 87004
1-855-804-8960 (Fax)

Medical Eligibility

You will also need to meet the level of care required for the DD Waiver program. Your Case Manager or Mi Via Consultant can provide you with blank copies of the forms your physician must complete. These forms must be returned to the Third Party Assessor for processing.

Service Plan and Budget

Your Case Manager or Mi Via Consultant will assist with you with creating a service plan and supporting budget. These items will shape what type of services and supports you will receive. Your service plan and budget is person-centered and reflects what you need.

DD Waiver Individual Service Plan

If you selected traditional DD Waiver, you will work on an Individual Service Plan (ISP) with your case manager, that details what types of services and supports you would like to receive.  Your ISP, budget and accompanying documentation will then be reviewed by the Third Party Assessor (TPA).

Mi Via Waiver Service and Supports Plan

If you selected Mi Via Self Directed Waiver, you will work on a Services and Supports Plan (SSP), that details what types of services and supports you would like to receive.  Your SSP and budget, along with the results from an in-home assessment, will be processed by the Third Party Assessor (TPA). The TPA will make a clinical determination on whether the requested services are needed and will recommend whether your requested annual budget should be approved.

Once your ISP/SSP and budget are approved, you will have a start date in which you can begin to receive DD Waiver services.

If you have any questions, please contact your Case Manager or Mi Via Consultant.

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Technical Assistance

The Allocation Checklist will help explain the allocation process. Contact your Pre-Service Intake worker or the Pre-Service Intake Bureau at 505-350-0034 if you need assistance.

Contact Information

505-350-0034 or 505-470-5825 Phone
505-533-6077  Fax

Pre-Service Intake Bureau Contact Sheet