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.

Case Management Services

Case management services play a critical role in supporting individuals to obtain their desired outcomes. For more information on case management services visit the Developmental Disabilities Supports Division (DDSD) website or contact the DDSD case management coordinators in the regional offices.

QMB provides regulatory oversight of case management agencies and conducts unannounced surveys of case management agencies to ensure compliance Centers for Medicare and Medicaid Services waiver assurances, DDSD standards and other rules and regulations.


Conditions of Participation

Case management services primarily focus of the following Centers for Medicare and Medicaid Services waiver assurance service domains: service plans; (ISP development & monitoring); level of care; qualified providers; health, safety and welfare. Identified within each service domain there are fundamental core regulations and standards identified as Conditions of Participation (COPS) essential compliance with COPS is necessary in order to ensure the health and welfare of individuals served. For more information on COPS see Conditions of Participation Process (Attachment B).

Please see the Conditions of Participation section of the QMB page for full details.


Plan of Correction Process

Upon completion of a QMB survey the case management agency receives a report of findings. Upon receipt of the report of findings the case management agency must submit a Plan of Correction (POC) to address all identified deficiencies in the Report of findings within 10 working days. For instructions on how to complete the initial plan of correction see QMB Plan of Correction Process (Attachment A).

The submitted POC is then approved by QMB. The agency has 45 days from the date of receiving the Report of Findings to implement their Plan of Correction.

On rare occasions, it may be necessary to request a time extension to complete a component of a POC. A written request for a time extension must be submitted to the POC coordinator with an explanation as to why the addition time is needed and when it will be completed. QMB will review the request for the extension and notify the provider if approved or not approved.

Requests for technical assistance must be requested through your regional DDSD Office.


Survey Field Tools

The QMB Field Tools are available to the public and case management agencies. The case management survey field tools identifies the criteria used to assess if an agency is in compliance with requirements. Case management agencies my find them helpful when conducting a self-test to measure their own performance to identify opportunities for quality improvement.


Report of Findings

Previously completed survey reports appear below sorted by provider, region, and date.

A Step Above Case Management

Metro & Northwest

Advocates of New Mexico, LLC

Metro

Amigo Case Management, Inc.

Metro

Metro & Southwest

Behavioral Health Institute (NMBHI)

Northeast

Northeast & Southeast

Blue Sky Case Management

Metro

Carino Case Management

Metro

Connection Plus, LLC

Metro

Metro & Northwest

Northwest

El Paraiso Management Services, LLC

Metro

Excel Case Management Inc.

Northwest

Southeast

Friends Forever Case Management

Metro

Metro & Southwest

Innovative Health at Home, Inc.

Northwest

J & J Home Care, Inc.

Southeast

Keetoni Case Management

Northeast

New Vision Case Management

Metro

Peak Development Services, Inc.

Metro & Northwest

Southeast & Southwest

Southwest

Plains Regional Medical Center Home Health

Southeast

Purple Cow Case Management

Southeast

Quality Case Management, Inc.

Metro

Rio Puerco Case Management, LLC

Northwest

Sun Country Case Management

Southwest

Tucumcari Home Health

Southeast

Unidas Case Management, Inc.

Metro & Northeast

Southwest

Unique Opportunities Case Management

Metro

Albuquerque (Carlisle)
Albuquerque (San Pedro)

Metro & Southwest

Visions Case Management

Northeast