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The Developmental Disabilities Supports Division of the Health Care Authority conducts independent rate studies including rate analysis, rate setting, and research and business analysis. Rate studies result in recommendations for reimbursement rates for the provision of services for individuals with intellectual and developmental disabilities receiving services through all four Home and Community Based Services Waivers; the Developmental Disabilities Waiver (DDW), Mi Via Waiver (MV), Medically Fragile Waiver (MF) and the Supports Waiver (SW.)  Rate studies are conducted in accordance with the Centers for Medicare and Medicaid Services (CMS) rules for rate setting methodology for 1915 c waivers.

Health Management Associates (HMA) Rate Study Information

New Mexico Home and Community Based Services (HCBS) Rate Study

Rate Study Updates

2025

• NM DDSD HCBS Rate Study Recommendations – Final Report
• NM DDSD HCBS Rate Models – Proposed
• NM DDSD HCBS Rate Study Recommendations – Presentation

2023

• NM DDSD HCBS Rate Study Recommendations – Final Report
• Mathematical Rate Study Example
• Provider Capacity Assessment Presentation
• Provider Capacity Assessment Report
• Public Comments and DDSD Response

Current Rates

For each of the four Home and Community Based Services Waivers; the Developmental Disabilities Waiver (DDW), Mi Via Waiver (MV), Medically Fragile Waiver (MF) and the Supports Waiver (SW), rates of reimbursement for each service must be approved by Centers for Medicaid and Medicare Services.

Notice of Approval of Amendments 2003.01.2023.pdf

All approved rates are published by the Health Care Authority in: Fee Schedules

Payment Disclosure

DDSD publishes the average hourly Medicaid payment rates for certain home and community based services. DDSD will update these rates at least every two years.

• Payment Disclosure Memo
• 2025 Payment Disclosure Report

Find Fee Schedules for all services at:

Fee Schedules – New Mexico Health Care Authority