LOOKING FOR ASSISTANCE
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.
Allocations and Transitions
ISP and Budget Forms
- Acknowledgement for HCBS Consumer Rights and Freedoms
- Participant Responsibilities
- Participant Responsibilities (Spanish)
- Client Rights, Grievance Process and ANE Reporting
- ANE Reporting (Brochure)
- Agency Based Budget Worksheet
- Agency Based Budget Worksheet Instruction
- ISP Template
- ISP and Budget Timelines
- Requirements for Payment to Legally Responsible Individuals(LRIs), Relatives and Legal Guardians and Q & A
- LRI Information Form
- Participant Directed PALCO Website
- Participant Directed Financial Management Agency web portal
Forms and Checklists
- ANE Information for SW EMOD, VMOD and AT Providers
- CSC Agency Change Form (contact SW Unit)
- Environmental Modification Checklist
- Exception for Continued CSC Reimbursement Form
- Exception to Standards Request Form
- Request to Approve Services by Relative or Legal Guardian
- Service Model Selection/ Change Form
- Service Model Selection/ Change Form (Spanish)
- Vehicle Modification Checklist
- Verification of Funds Form