Medically Fragile Waiver Eligibility Determination:
Application for the Medically Fragile Waiver is made with the Income Support Division (ISD) office in the county that the applicant resides. In order to be considered financially eligible, the applicant must meet the income guidelines specific to Category 95/Medically Fragile Waiver by Medicaid.

The financial eligibility for the Medically Fragile Waiver applicants is determined by the Medicaid Income Support Division at the Human Services Department (HSD).  The medical eligibility for the Medically Fragile Waiver applicants is determined by the contracted Medicaid Utilization Review Agent with the HSD-Medical Assistance Division (MAD). The applicant for the Medically Fragile Waiver must meet both the financial and medical eligibility set forth by Medicaid. The medically fragile individuals must meet the same medical level of care criteria required for Intermediate Care Facility for the Mentally Retarded (ICF/MR). See Medically Fragile Waiver eligibility for more information.

Central Registry/ Allocation
The Medically Fragile Waiver Program receives a copy of the waiver registration form (MAD 325) from the ISD office and the referral is registered on the Central Registry by the date stamped on the MAD 325 form. The referral on the Central Registry is based upon a first come, first served basis. The appropriated funds by the New Mexico Legislature determine the number of allocated slots for the Medically Fragile Waiver Program statewide.


For more information contact your closest Regional Office.

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See description of services for

Medically Fragile Waiver
Family Infant Toddler Program Eligibility determination:
Respite Services
Developmental Disability Eligibility determination
State General Funded Services