Services & Supports
The Mi Via Waiver program provides an array of living supports (for adults only), community membership supports, health and wellness supports and other related supports and goods. The program is funded with state general funds appropriated by the New Mexico State Legislature and is matched with federal funds from the Centers for Medicare and Medicaid Services. Mi Via Waiver services are intended to add to, not replace, other supports a person has like medical services through New Mexico’s Medicaid State Plan, natural supports and other community services.
Covered Services
The following is a list of covered services for the waiver program. Detailed descriptions, age requirements and requirements for providers (Individual or Vendor) of the services are detailed in the Mi Via Waiver Service Descriptions and Provider Qualification.
Consultant/Support Guide Services
Consultant Support Guide Services are person-centered and are intended to educate, guide and assist participants to make informed planning decisions about services and supports.
Please visit the Consultant Services section of our website to learn more.
Personal Plan Facilitation
Personal Plan Facilitation Services support planning activities that will result in a holistic person-centered plan that may be used by the participant to develop his/her Service Support Plan (SSP) as well as identify other sources of support outside the SSP process. Essential Life Planning (ELP), Circle of Friends, Making Action Plans (MAPS), Planning Alternative Tomorrows with Hope (PATH), Personal Future Planning (PFP), Lifestyle Planning and Personal Profile may be used by the facilitator to produce the plan. This service provides an opportunity for the individual to explore and articulate the vision he/she has for his/her life.
Please see the Mi Via Self-Directed Waiver Service Standards - Appendix A: Service Descriptions in Detail to learn more.
Community Membership Supports
Includes community direct support services, customized community group support services and employment support services.
Please visit the Community Membership Supports section of our website to learn more.
Living Supports
Includes homemaker/direct supports (for ages 21 and over), home health aid services (for ages 21 and older) and in home living services (for ages 18 and older).
Please visit the Living Supports section of our website to learn more.
Health and Wellness Services
Includes extended state plan skilled therapies for adults (physical therapy, speech and communication therapy, occupational therapy), behavior support consultation, nutritional counseling, private duty nursing for adults; and specialized therapies such as acupuncture, biofeedback, chiropractic, cognitive rehabilitation therapy, native American healing, hippotherapy, massage therapy, play therapy and naprapathy.
Please visit the Health and Wellness Supports section of our website to learn more.
Other Related Goods and Supports
Includes emergency response, environmental modification, respite, related goods, and transportation.
Please visit the Other Related Goods & Supports section of our website to learn more.
Services for Children
Not all services are available to children. These services include any services that are in-living supports (home health aide, homemaker/direct and in home living supports), extended state plan for skilled therapies for adults (OT, PT and SLP) and private duty nursing for adults.
Children also have access to services such as: the Medicaid school-based services program, the Medicaid Early Periodic Screening Diagnosis and Treatment (EPSDT) program, services offered by the New Mexico State Department of Education, or the Family Infant Toddler program. For the purposes of EPSDT service eligibility, child means an individual under the age of 21.
Service Standards
The Mi Via Waiver is a Medicaid program that has federal rules and state regulations and standards that guide service deliveries, promote the health and safety of participants and supports participant’s budget-related authority. There are three (3) elements to participant’s budget-related authority.
Budget-Spending Authority
Participants have authority to expend waiver funds for services thorough an AAB that shall be expended monthly over the course of the budget year and per the participant’s approved SSP/budget.
Employer Authority
The Employer of Record (EOR) is the employer of service providers. The FMA serves as the participant’s agent in conducting payroll and other employer-related responsibilities that are required by Federal and State law.
Decision-Making Authority
Participants can determine the amount paid for services within the State’s limit. Please see Mi Via Self-Directed Waiver Service Standards - Appendix C: Mi Via range of Rates and Service Codes to learn more.
Participants have the authority to identify service providers and complete the applicable paperwork. All employees and/or vendor agencies must have a signed agreement packet with the participant to provide services. Please see the following appendices from the Mi Via Self-Directed Waiver Service Standards to learn more about vendor and employee credentialing.
- Mi Via Self-Directed Waiver Service Standards — Appendix D: Vendor Credentialing and Information
- Mi Via Self-Directed Waiver Service Standards — Appendix E: Employee Credentialing Requirements
Please visit the Mi Via Self-Directed Waiver Consultant Enrollment section of our website for more information about becoming a Mi Via consultant agency.