Mi Via is New Mexico’s self-directed waiver program, and is designed to help patients take more control and have more choices about what kind of care they get. Mi Via includes four separate waiver programs: one for older adults with disabilities, one for people with developmental disabilities, one for people who are considered medically fragile, and one for people who have brain injuries. Mi Via is the first program in the country to make self-direction available to all of these groups through their waiver programs, and now people who are eligible for Medicaid in New Mexico can choose Mi Via as an option.
Options for Self-Direction: Mi Via is an entirely self-directed waiver program. You will work with Medcaid agents and providers to plan for the services you need.
Developmental Disabilities waiver (DD waiver):
This waiver, like other DD waivers, is designed to help people with I/DD get care at home or in their communities instead of in a residential facility or state hospital.
- Community: day care, non-medical transportation, and community membership
- Health: nursing, nutritional counseling,
- Home: respite care, personal care, environmental accessibility modifications
- Work: vocational habilitation, supported employment
Medically Fragile waiver:
This waiver covers people who have been diagnosed with a medically fragile condition before the age of 22, including many people with developmental disabilities or developmental delays or brain injuries. A ‘medically fragile condition’ is a physical condition that requires long-term dependence on medical care, including daily skilled nursing care.
- Health: speech therapy, private duty nursing, physical and occupational therapy, psychosocial treatments, nutritional counseling
- Home: home health care, respite care
- Social Services: case management
Coordinated Long-Term Care Services (CoLTS):
The goal of this program is to coordinate the wide array of services provided by other Medicaid programs for recipients who need long-term care. This program is also designed to provide these options in a community setting rather than an institutional one.