Resources

Self-Directed Choices Resources and Links

The following list of resources is a brief overview of New Mexico and Disability-related services. For more information on specific resources call Self-Directed Choices at 1 (877) 464-1252 or (505) 508-1663 or email Sandy@sdchoices.com.

Self Directed Choices

Financial Management Agency (FMA)

The FMA makes payment to employees for services rendered to the persons and their employees or vendors. The FMA processes employee timesheets or invoices, and bills Medicaid for services and goods approved on the Service and Support Plan.

Consolidated Customer Service Center: toll-free tel:1 (800) 283-4465
FAX: 1 (866) 302-6787
Help Desk email: mi.via@conduent.com
Mail address: Conduent, Inc. P.O. Box 27460, Albuquerque, NM 87125
Local office: Conduent, 1720-A Randolph Road SE, Albuquerque, NM 87106

What is Palco and what do they do?

Palco will provide certain employer and vendor payment services. They will also provide state and federal tax and regulatory reporting.

NM has instituted the mandatory Federal Cares Act as of 1/1/2021. Which requires electronic visit verification. https://palcofirst.com/wp-content/uploads/2021/01/NM-Palco-General-FAQ.pdf

Palco website https://Palcofirst.com

Mi Via email  via@conduent.com

For forms and resources go to https://palcofirst.com/new-mexico/

The Arc of New Mexico's mission is to improve the quality of life for individuals with developmental disabilities of all ages by advocating for equal opportunities and choices in where and how they live, work, play, and socialize.
arcnm.org

Center for Development & Disability (UNM-CDD)

CDD Information Network offers the most comprehensive collection of disability resources including Tip Sheets in New Mexico.
cdd.unm.edu or cdd.unm.edu/InfoNet

Centennial Care

The vision is to educate recipients to become more savvy health care consumers, promote more integrated care, properly case manage the most at-risk members, involve members in their own wellness, and pay providers for outcomes, rather than process.
NM Human Services Dept. (Centennial Care)

Centennial Care Comments, HSD Medical Assistance Division P.O. Box 2348, Santa Fe, NM 87504
Medicaid Call Center: 1 (888) 997-2583
General Questions: Call Medicaid Call Center

Self Directed Choices

Court Visitors

A "court visitor," is used to investigate guardianship and conservatorship cases. In a guardianship case, the judge must decide whether the respondent is legally incapacitated, whether to appoint a guardian for the respondent and what authority to grant to the guardian regarding the respondent's person.

In a conservatorship case, the judge must make similar decisions regarding the respondent's estate, or money and assets. The judge may appoint a court visitor to determine if a respondent should be excused from the hearing or gather evidence to help the judge make the decision about the request for guardianship or conservatorship.

Managed Care Organizations (MCOs)

New Mexicans who have Medicaid, with the exception of Native Americans (they can enroll or choose to opt-out of Centennials Care), select an MCO to manage their health care.

This includes people on Centennial Care, Developmental Disabilities Waiver, Medically Fragile Waiver, and Mi Via Waiver.

Qualis Third Party Assessor (TPA)

The TPA determines medical eligibility for the Mi Via participants and approves the Service and Support Plan and budget.

The mission of Qualis Health is to generate, apply and disseminate knowledge to improve the quality of healthcare delivery and health outcomes.
http://www.qualishealth.org/

  • One of Qualis TPA's contracted home care agencies will contact you shortly after your MiVia Waiver selection to set up an appointment to conduct a face-to-face assessment.
  • Once Qualis TPA receives all your paperwork, your Level of Care (LOC) can be determined.
  • Once your LOC is determined you will receive a letter in the mail from Qualis TPA. Your Consultant will also receive this letter and will contact you for the next steps.
NM Aging Long Term Service Department (ALTSD)

ALTSD is dedicated to promoting the independence and dignity of elders and individuals living with a disability. ALTSD also manages the Personal Care Options program (PCO), Disabled & Elderly Waiver (D&E), and MiVia Waiver. Visit the ALTSD website for more information.

https://www.nmaging.state.nm.us/default.aspxwww.nmaging.state.nm.us/ALTSD_second_page.html

Resource Center 

https://www.nmaging.state.nm.us/adrc.aspx

NM Developmental Disabilities Planning Council

DDPC members and small staff work on ways to improve the quality of life for individuals with disabilities in New Mexico.

https://www.nmddpc.com/

NM Developmental Disabilities Planning Council – Office of Guardianship

Program Description:
The NM Office of Guardianship provides a statewide, publicly funded guardianship services program for guardians of "last resort” to incapacitated income and resource-eligible adults. We also provide Mental Health Treatment Guardians for appointments by the courts. Our clients include adults with a primary diagnosis of a mental defect due to a disease process or congenital defect (for example a developmental disability, traumatic brain injury, behavioral health disorder, dementia, or other related conditions) that affects the adjudicated incapacitated person’s ability and capacity to care for him/herself.

Program Function:
Our Office of Guardianship provides contracts for “Corporate Guardians” and for legal services. Legal services for guardianship court proceedings include Petitioning Attorney, Guardian Ad Litem (GAL), and Court Visitor. We also contract with the National Alliance for Mental Illness for making treatment guardians available to the courts state-wide.

Income and Resource Eligible:
the alleged incapacitated person must be financially eligible for institutional Medicaid (income does not exceed 225% of the federal poverty level (2008 Poverty Guidelines), and countable resources cannot exceed $2,000.00 (Burial accounts up to $1,540.00 are not included). For legal services, where the proposed guardian is not a contracted service provider, the proposed guardian’s household gross income must not exceed 300% of the federal poverty level.

Relation to the larger agency of DDPC:
The NM Office of Guardianship is under the NM Developmental Disabilities Planning Council. The guardianship program only relates to the appointment of guardians as decision-makers for mentally incapacitated adults. Five members of the Guardianship Committee for the DDPC Council are official members of our Guardianship Council (GC) established to advise and assist our office, including policies, rules, procedures, roles, complaint trends, legislative changes, quality assurance, training, and feedback. 

https://www.nmddpc.com/guardianship_program

Home and Community-Based Services (HCBS) Advocacy

Providing information and advocacy, HCBSadvocacy.org is a platform for the aging and disability communities to post information and resources regarding the new HCBS settings rule and steps each state is making to comply with the new rule.

People with Intellectual Disabilities and Substance Abuse

The integration of people with forms of intellectual disabilities into their communities as the United States evolved socially found them being exposed to substances such as drugs and alcohol as well. Present statistics suggest rates of drug and alcohol abuse among people with intellectual disabilities are as high as 25%.

FOCoS

FOCoS online provides real-time, front-end controls that ensure service delivery accuracy and program compliance by validating provider relationships and authorized services:

  • at the right time
  • at the right quantity
  • at the right rate
  • by the right provider

They promote and enhance the quality of life by empowering individuals’ with the freedom to manage their healthcare through a secure, permissions-based, HIPAA- compliant solution.

American Bar Association Guardianship Laws

American Bar Association is one of the world's largest voluntary professional organizations, with over 400,000 members and more than 3,500 entities. It is committed to doing what only a national association of attorneys can do: serving our members, improving the legal profession, eliminating bias and enhancing diversity, and advancing the rule of law throughout the United States and around the world.