Medically Fragile Waiver Program - Other Information
The Medically Fragile Waiver Program works with a state-wide contracted Case Management (Registered Nurses only) Program to coordinate the necessary services the waiver recipient needs with the contracted direct service providers (i.e., home health agencies) throughout the state.

Each case manager lives and serves in the community and also provides services in the surrounding rural areas. The Case Management Program comprises a model of family-centered service coordination for individuals who are medically fragile and their families in a culturally diverse state.

The case manager, combined with direct services providers and/or family, develops an Individual Service Plan (ISP) with the recipient's primary care physician. This plan defines the services the medically fragile recipient will receive, including the cost of services. 

The rate of fees charged for services and a schedule for when the services will be delivered are controlled by agreements established with DDSD and the providers of those services throughout New Mexico. These programs provide in-home services that support the family decision to care for their medically fragile family member at home instead of in an institution.

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The Process used to Determine Eligibility