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1. How to find out if I am eligible to live in an ICF/IID?

Individuals with intellectual and developmental disabilities who meet the definition of developmental disability in accordance with New Mexico Administrative Code NMAC 8.290.4 are eligible for admission to an ICF/IID. In general, to match the definition of a developmental disability the individual must:

• Have an Intellectual Disability, onset by age 18 or
• A specific related condition (Cerebral Palsy, Autistic Disorder, Down Syndrome, Epilepsy, etc.) and
• Have significant limitations in at least 3 areas of major life activity that began prior to age 22

2. How do I apply for admission to an ICF/IID?

The application is the same as that for the Waiver (HCBS) Application. You may obtain the packet at the links below or contact the Pre-Service Specialist in your region. Eligibility for ICF/IID admission criteria must be met first before admission.

Please visit the Pre-Service Intake Webpages on this site and contact your Pre-Service Intake Specialist or the Pre-Service Intake Bureau at

505-350-0034 or 505-470-5825 Phone
505-533-6077  Fax

Pre-Service Intake Bureau Contact Sheet

After the regional DDSD office receives the application packet, a Pre-Service Intake Specialist will contact you if additional information is needed. All individuals applying have 60 days to return the application packet and supporting documentation.

Once the Pre-Service Intake Specialist has determined the individual has met criteria and is eligible, the individual will receive a Yes Match letter via mail. This approval letter is required for ICF/IID admissions.

3. Who should I contact if I receive a letter stating I am a Yes Match and I am interested in ICF/IID?

Your “Yes Match “ letter will have contact information for ICF/IID questions . A listing of ICF/IID’s in New Mexico can be requested from the Health Care Authority, Developmental Disabilities Supports Division ICF/IID Program Coordinator. 

1. Where Can I find the Level of Care MAD 378 Abstract?

If you are an ICF/IID provider, you can find the guide to completing the Level of Care MAD 378 abstract here: Admission Criteria.

You can access the current abstract by visiting the New Mexico Medicaid Portal website and navigating to providers section, selecting “view” under public information for the MAD 378 under HSC/MAD Forms.

2. Who do I need to contact for billing inquiries?

For billing issues concerning denied claims, please contact the ICF/IID Program Coordinator with the Transaction Control Number (TCN). The ICF/IID Program Coordinator will research the claim and assist with troubleshooting the errors.

All other billing errors should be directed to Conduent.

3. I want to become a licensed ICF/IID Provider in the state of New Mexico, where do I get more information?

For information and instructions on how to apply for a health facility license, please visit the Division of Health Improvement, Health Facility Licensing and Certification Program Operations Bureau page at:

www.hca.nm.gov/program-operations-bureau