New Mexico Department of Health
Our mission is to promote health and wellness, improve health outcomes, and assure safety net services for all people in New Mexico.

Medically Fragile Waiver

The Medically Fragile Waiver (MFW) program is intended for individuals who have been determined to have both a medically fragile condition and a developmental disability to live in their homes.

The Medically Fragile Waiver Program provides case management (by Registered Nurses only), private duty nursing (RN & LPN), home health aides, physical therapy, speech therapy, occupational therapy, psychosocial counseling, nutritional counseling and specialized medical equipment.

To learn more about the MFW Services, please visit the Families and Providers sections of our website. You may also wish to read the Medically Fragile Waiver Fact Sheet as well as the NMAC 8.314.3.


Historical Information

ImageThe Medically Fragile Waiver Program is a Home and Community Based Medicaid Waiver authorized under Section 1915C of the Social Security Act and was originally approved in New Mexico in 1985. The program is designed to serve children and adults who meet eligibility requirements.

The initial federal authorization for in-home and community-based services was contained in Section 2176 of the Omnibus Budget Reconciliation Act of 1981, Section 1915 (c) of the Social Security Act (42U.S.C. Section 1396 n (c)), granting the Federal Health and Human Services Department authority to allow states to furnish home and community based Medicaid waivers.

This statute authorized the waiver to serve a targeted population (Disabled and Elderly), Senate Bill 123, chapter 323, 1983 Laws of New Mexico. In 1984, two additional waivers were proposed, approved and implemented using funds appropriated by Chapter 91, 1984 New Mexico Laws (House Bill 186). The two waivers serve medically fragile and developmentally disabled individuals.

Read our Medically Fragile Waiver History document for a chronological overview of services provided to persons with developmental disabilities and who are also medically fragile.


Learn More

For more information, please feel free to either call 877-696-1472 or email your questions to our santafemailbox.ddsd@state.nm.us address.


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