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Disability Rights New Mexico – DRNM - is a private, non-profit organization whose mission is to protect, promote and expand the rights of persons with disabilities. We are the designated protection and advocacy program for New Mexico, and as such we have authority under federal law to pursue legal, administrative and other remedies on behalf of persons with disabilities.
DRNM, Allies Seek Fixes to DD Waiver Changes
Based on subsequent information from DOH, it now appears that waiver participants whose annual plans and budgets renew before March 1, 2013, will get another full year of service based on the “old” (current) service system and rate structure. Those whose annual review date comes on or after March 1 will have a service plan based on the new model of services and provider rates. In January, ISP teams will start working to develop new service plans and budgets for those whose review date is in March, so that plans and budgets can be approved and implemented at that time.
For information about timelines that is being given to individuals, family members, providers, and casemanagers and is displayed on the DDSD website, click here.
The revised DD waiver program will be based on a new assessment tool (the Supports Intensity Scale, or “SIS”) to identify the service needs and budget allocations of persons on the waiver. Some service definitions are changing, and rates to be paid to provider agencies are changing. The criteria for determining who will receive residential services (including Family Living) are being revised, and some will no longer qualify. New limitations are being imposed on the number of hours of therapy (OT, PT, SLP) that can be provided, with an emphasis on having direct care staff carry out therapeutic exercises and activities.
For more information about the DD waiver changes from DRNM's perspective, click here. For information from the Department of Health about the new service and budget model, click here. DRNM submitted comment to the New Mexico Human Services Department on the proposed regulatory changes to the Developmental Disabilities (DD) Waiver program. Click here for the full text of the letter which details our concerns.
DRNM is still collecting information on the impact of the waiver changes. If you or a family member participates in the DD waiver, please fill out our survey on your experiences with the new Supports Intensity Scale (SIS) evaluation tool. Click here to link to the survey.
Proposed Overhaul of Medicaid Program
It is now up to CMS - the federal agency that is reviewing the state's application - to approve the proposal or not, and to determine what changes, if any, will need to be made before such approval might be given. DRNM and The Disability Coalition teamed up to provide lengthy and detailed comments on the state's proposal, calling on CMS to require a variety of improvements and clarifications to "Centennial Care" prior to federal approval. Click here for a copy of the Coalition/DRNM letter. The public comment period for CMS has come to an end, and many individuals and organizations also provided input to CMS. Click on the following highlighted links for DRNM's summary and analysis of the revised proposal or for the full text of HSD's 1115 waiver application.
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DRNM is pleased to present our 2012 Annual Report. Click here to view
Keep up with the latest legislative news by clicking here or clicking on the Legislative Reports on the left side of the webpage.
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