The Mi Via Waiver program, initiated in 1999 by the Centers for Medicare and Medicaid Services, is a pioneering self-directed Home and Community-Based Services (HCBS) endeavor. Derived from the Spanish phrase meaning "my path" or "my way," Mi Via offers a unique opportunity for eligible children and adults with Intellectual and Developmental Disabilities (IDD) or medically fragile conditions to take control of their services and support. This person-centered and community-oriented approach has revolutionized healthcare, emphasizing inclusion and empowering family caregivers in New Mexico.
The Mi Via Waiver is a pivotal component of New Mexico's array of Medicaid waivers. It offers an alternative to institutional care by promoting participant autonomy, choice, and control over their services and supports. This self-directed Home and Community-Based Services (HCBS) program, established in 1999, aims to empower individuals with Intellectual and Developmental Disabilities (IDD) or medically fragile conditions to lead fulfilling lives within their communities.
At its core, Mi Via embodies several fundamental principles:
The guiding principles of New Mexico's self-directed waiver program affirm that all participants possess inherent value and potential and should be evaluated based on their abilities rather than limitations. Every individual has the right to participate and be fully included in their community, receiving services and support tailored to their unique needs within the most integrated settings possible.
Upon approval for Medicaid waiver services by the Department of Health and meeting medical and financial requirements, eligible individuals can opt for the Mi Via Waiver. With the guidance of a consultant, participants develop their personalized Service and Support Plan (SSP) to address their functional, medical, and social needs. Empowered by this flexibility, care recipients have the authority to determine the types of services required and how to allocate their Mi Via budget, enabling them to design a path that best suits their aspirations and aspirations.
To qualify for the Mi Via Waiver program, individuals must meet specific New Mexico Department of Health criteria. The eligibility requirements include:
Meeting these requirements does not guarantee immediate enrollment, as there may be a waiting list due to program capacity limitations. The state regularly reviews and reassesses the eligibility of applicants to ensure that resources are allocated fairly and effectively to those most in need.
The Mi Via Waiver program offers comprehensive services and supports to eligible individuals with Intellectual and Developmental Disabilities (IDD) or medically fragile conditions. Participants have the flexibility to design their Service and Support Plan (SSP) with the assistance of a consultant, tailoring it to their unique needs and preferences. The services and supports available through Mi Via include:
These services and supports empower individuals with disabilities to live independently, actively participate in their communities, and pursue their aspirations while acknowledging family caregivers' vital role in supporting their loved one's well-being.
The Mi Via Waiver program recognizes the significant contributions of family caregivers and their essential role in supporting individuals with Intellectual and Developmental Disabilities (IDD) or medically fragile conditions. While the program does not provide direct financial compensation to unpaid family caregivers, it does offer opportunities for self-direction, allowing care recipients to decide how to allocate their budget and utilize services.
The mechanism through which family caregivers can receive compensation within the Mi Via Waiver program is "Participant-Directed Goods and Services" (PDGS). This provision allows eligible individuals with Intellectual and Developmental Disabilities (IDD) or medically fragile conditions to choose the goods and services they need to meet their health and welfare needs, including support from family members.
Here's how it works:
Compensation for family caregivers must comply with specific guidelines and restrictions outlined by the program. Additionally, participants must adhere to Medicaid program rules and regulations to appropriately use allocated funds. The primary goal of this mechanism is to empower individuals with disabilities to have more control over their care while promoting family involvement and community integration.
If you or someone you know provides caregiving support for a family member with IDD or a medically fragile condition, fill out this form to determine your eligibility for compensation.