What is Mi Via, New Mexico's Self-Directed Waiver Programs?
Mi Via means “my path,” “my way” or “my road,” and is New Mexico’s Medicaid Self-Directed Waiver Program. Mi Via is designed to assist participants in directing their own Home and Community Based Services (HCBS) and supports. Eligible participants will have the option to control, direct and purchase services, supports and goods related to their disability or condition and Medicaid funds, using the essential elements of person-centered planning, individual budgeting, participant protections, and quality assurance and quality improvement.
Who is Eligible?
- Individuals currently participating in the following HCBS waivers: Developmental Disability Waiver (DDW) or Medically Fragile Waiver (MFW).
- All individuals must meet medical and financial eligibility through a Medicaid waiver service.
How do I apply for Mi Via, New Mexico's Self-Directed Waiver Program?
- If you are currently being served in one of the two (2) Medicaid HCBS Waiver programs and you decide you want to participate in Mi Via, you need to fill out a Waiver Change Form (WCF). You will receive this form upon request from the HCBS waiver program that you are currently enrolled in. Once this form is completed and returned, you will be contacted by a Mi Via consultant to enroll and develop your Mi Via Service and Support Plan and budget.
- If you are not yet in a HCBS waiver program, you must first register for services with the Department of Health. Upon allocation for a HCBS waiver program, you will be able to choose to participate in Mi Via by filling out a Primary Freedom of Choice (PFOC) form.
- Once Mi Via is selected, the Department of Health will provide the appropriate paperwork that is needed to determine medical and financial eligibility. This paperwork consists of the Human Services Department Application for Assistance (HSD 100), Long Term Care Assessment Abstract, History and Physical (also known as an H&P) and instructions for completion and submission of forms. One of Molina Healthcare TPA’s contracted home care agencies will contact you shortly after your selection to set up an appointment to conduct a face-to-face, in-home assessment.
- Once Molina Healthcare TPA receives your completed long-term care abstract, H&P, and in-home assessment, your Level of Care (LOC) can be determined.
- Once your LOC is determined you will receive a letter in the mail from Molina Healthcare TPA. Your Consultant will also receive this letter and will contact you for next steps. These steps include working with you to develop your Services and Supports Plan (SSP) and associated budget to purchase goods and services related to your disability. The SSP and budget are reviewed and approved by Molina TPA for initial, revision, and annual budget submissions.
- For more information visit the Mi Via website at http://www.mivianm.org//
Mi Via Forms
Long Term Care Assessment Abstract (For DDW participants only)
Medically Fragile Waiver Long Term Care Abstract (For MFW participants only)
History and Physical (H&P)
Mi Via H&P
Molina Healthcare TPA Mi Via Ombudsman
The Mi Via Ombudsman at Molina Healthcare TPA is available to work directly with Participants with questions and concerns that may arise.The Mi Via Ombudsman has full knowledge of the Mi Via Self-Directed Waiver Program, works together with the Participant, their consultants and others who may be helping the Participant with their medical eligibility or budget, to get the answers needed to solve issues. They can also connect a Mi Via participant directly to the person most able to help with your question. You can call a Mi Via Ombudsman to assist you at: (505) 348-0921. Participants may also call the Molina Healthcare toll-free phone number at: (866) 916-3250 and ask to be connected with the Mi Via Ombudsman. If you have a specific question about your submitted budget or medical eligibility paperwork, please ask to be connected to a Mi Via care coordinator.
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