New Mexico Centennial Care 2.0 1115 Medicaid Demonstration Extension

“This approval is  effective January 1, 2019 through December 31, 2023. CMS’ s approval is subject to the limitations specified in the attached waiver authorities, expenditure authorities, Special Terms and Conditions (STCs), and subsequent attachments. The state may deviate from the Medicaid state plan requirements only to the extent those requirements have been listed as waived or as not applicable to expenditures or individuals covered by expenditure authority…

Employment Supports will be provided by staff at current or potential work sites. When supported employment services are provided at a work site where persons without disabilities are employed, payment is made only for the adaptations, supervision and training required by members receiving services as a result of their disabilities but does not include payment for the supervisory activities rendered as a normal part of the business setting.”

New Mexico Report Legislating for Results: Policy and Performance Analysis (2019)

“One of 14 states without institutions for individuals with intellectual or developmental disabilities, New Mexico serves this population through a system of home- and community-based services funded through two main Medicaid programs administered by the Human Services Department (HSD) and operated primarily through the Department of Health (DOH). A 2018 LFC evaluation of these programs found growth in per-client costs and a lengthening waiting list are outpacing the state’s ability to fund and provide services. In FY17, about 3,500 people received services through the traditional developmental disabilities (DD) waiver program, while another 1,400 received services through the self-directed Mi Via program. Both provide services not usually covered by Medicaid under federal waivers of existing rules. The list of eligible individuals waiting for services, meanwhile, totaled roughly 3,900. The evaluation found increased service utilization, client movement from the traditional DD waiver program to Mi Via, and changes to how client service plans and budgets are developed have all contributed to rising costs. The average cost of an individual enrolled in the DD waiver program grew by 17 percent, to $78,575, between FY14 and FY17, while total enrollment fell by 13 percent. Meanwhile, budgets for Mi Via clients are approaching their annual individual caps, and cost growth in both waivers is on pace to potentially violate federal cost neutrality requirements by FY27.”