Tu-Via New Mexico waiver guide for families

Decoder

Every acronym, in one place

Waiver paperwork runs on initials. Search the list, or read it once so the next meeting makes more sense.

AAB Authorized Annual Budget Mi Via

The amount you actually have to spend for the year on Mi Via, after the Third Party Assessor approves your budget. Different from the IBA, which is the ceiling before approval.

ANE Abuse, Neglect and Exploitation

The category of harm that must be reported. New Mexico's statewide hotline is 866-654-3219. Providers have mandatory reporting duties and so, in some situations, do you.

Case Manager DD Waiver

Your coordinator on the traditional DD Waiver. Compiles the ISP, links you to provider agencies, monitors services, and handles annual recertification and budget submissions.

CCS Customized Community Supports DD Waiver

Day supports built around one person: activities in the community or a group program aimed at self-help, socialization, and adaptive skills.

Central Registry

The state database and wait list for the DD Waiver. Your place in line is set by the date your completed application arrived, not by severity of need. Phone 505-630-9555 or 575-997-7980.

CIE Community Integrated Employment DD Waiver

Support to get and keep a real job at real wages, including job development and job coaching.

Consultant Mi Via

Your guide on Mi Via. Helps with eligibility, writes the Service and Support Plan with you, deals with the TPA and FMA, and monitors quality. You choose the consultant agency.

DD Waiver Developmental Disabilities Waiver DD Waiver

New Mexico's "traditional" waiver, where contracted provider agencies deliver services and a case manager coordinates.

DDSD Developmental Disabilities Supports Division

The division that runs both waivers. It used to sit in the Department of Health and is now part of the New Mexico Health Care Authority.

EOR Employer of Record Mi Via

The person who directs Mi Via workers and vendors: hiring, scheduling, supervision. For a child this is normally the parent or guardian. The role itself is not paid.

EPSDT Early and Periodic Screening, Diagnostic and Treatment Medicaid

Medicaid's benefit for people under 21. Covers medically necessary services broadly, often more than adult Medicaid or the waiver would. The most underused tool available to families.

FIT Family Infant Toddler program School and early childhood

New Mexico's early intervention program for children from birth to age 3 with a developmental delay or a diagnosed condition. Runs separately from the waivers.

FMA Financial Management Agency Mi Via

The state contractor that runs payroll, taxes, and vendor payments on Mi Via so you do not have to. Phone 505-924-2010 or 866-916-0310.

Freedom of Choice

The forms where you choose. The Primary Freedom of Choice picks your program (DD Waiver or Mi Via) after an allocation. A Secondary Freedom of Choice picks your case management or consultant agency.

HCA New Mexico Health Care Authority

The state department that now contains DDSD and New Mexico Medicaid. Its website is hca.nm.gov. It absorbed the old Human Services Department and took DDSD from the Department of Health.

HCBS Home and Community-Based Services

The family of Medicaid waivers that pay for support at home and in the community instead of in an institution. Both the DD Waiver and Mi Via are HCBS waivers, authorized under section 1915(c).

IBA Individual Budgetary Allotment Mi Via

The maximum Mi Via funding available, based on age and level of care, with separate limits for ages 0 to 17, 18 to 21, and 21 and over. The ceiling, not the approved amount.

ICF/IID Intermediate Care Facility for Individuals with Intellectual Disabilities

The institutional setting a waiver is an alternative to. Eligibility requires showing your child needs this level of care, which is why the assessment is called a level of care determination.

IDD Intellectual and Developmental Disabilities

The population both waivers serve. New Mexico's working definition is in state rule at NMAC 8.290.4.

IEP Individualized Education Program School and early childhood

The school's plan for a child in special education, written by the school team under federal education law. A completely separate document from an ISP or SSP, with separate rights and separate deadlines.

ISP Individual Service Plan DD Waiver

The DD Waiver plan. Compiled by your case manager, it is supposed to start from a written picture of your child, their dreams and desired outcomes, then set out the supports to get there.

LOC Level of Care

The annual determination that your child needs the level of support an ICF/IID would provide. Both waivers require it, every year.

LRI Legally Responsible Individual

A parent of a minor, a spouse, or a legal guardian. Whether an LRI can be paid to provide a service, and under what conditions, is a specific rule with its own forms. Ask early.

MFW Medically Fragile Waiver

A separate waiver for people diagnosed with a medically fragile condition before age 22 who also have a developmental disability, delay, or risk of delay. Apply at 1-800-283-8415.

NMAC New Mexico Administrative Code

State rules. The DD Waiver eligibility definition lives at NMAC 8.290.4. When a decision cites a code section, that is the rule you are allowed to read.

PCA Person-Centered Assessment DD Waiver

A process and written report used before community supports and employment services, to work out what supports a person actually needs to take part or to work.

PSIB Pre-Service Intake Bureau

The DDSD bureau that receives applications, decides whether the DD criteria are met, and runs the allocation process. Phone 505-350-0034 or 505-470-5825.

Respite

Paid temporary care so the usual family caregiver gets a break. Available on both waivers, including in the DD Waiver children's category.

SGF State General Funds

A limited set of state-funded services for people who finished the eligibility process and are waiting on the list. Ask your regional office for the SGF liaison.

SSP Service and Support Plan Mi Via

The Mi Via plan, written by you with your consultant. Records your child's strengths, needs, preferences, and goals, and drives the budget that follows.

Therap DD Waiver

The electronic documentation system DD Waiver providers are required to use for things like nursing notes and behavior support documentation. If you want to know what staff recorded, this is where it lives.

TPA Third Party Assessor

The state contractor that reviews and approves plans and budgets. Currently Comagine Health, 866-962-2180. "Waiting on the TPA" means waiting here.

Turquoise Care Medicaid

The current name for New Mexico's Medicaid managed care program, replacing the name Centennial Care. Runs alongside a waiver and covers ordinary medical and behavioral health care.