Project Overview

The New Mexico Health Care Authority’s Developmental Disabilities Supports Division (DDSD) is in the process of reviewing payment rates for services covered under the Developmental Disabilities, Mi Via, and Medically Fragile Waivers. Burns & Associates, a division of Health Management Associates (HMA-Burns), has been contracted to assist with this effort. This website will act as a repository for rate study-related materials throughout the project.

Public Review and Comment on Proposed Rate Models

DDSD and HMA-Burns want to hear from community stakeholders before finalizing payment rate recommendations. HMA-Burns encourages all interested stakeholders to review the proposed rates and to provide written comments. Written comments should be submitted to [email protected], and will be accepted until December 19, 2025.

Links to the materials for public review and comment are provided below.

• Proposed rate models and overviews
  • The proposed rate models detail the rate calculations and specific assumptions related to wages, benefits, and productivity; mileage; administration, program support, and other costs can be accessed here.
  • A presentation that provides background on the rate study, outlines the rate setting methodology, and highlights the results of the rate study can be accessed here.
    • The presentation was revised on December 9^th to revise unit types on Slide 49 for Mi Via (from ‘per hour’ to ‘per 15 min.) and for Medically-Fragile (to notate that LPN and RN are billed as 15 min. units rather than hourly)
  • A series of webinars that provide an overview of the rate study process, detail key assumptions across services, and provide service-specific recommendations are available in the links below:
    • Click here for a webinar that overviews the rate study background and process 
    • Click here for a webinar that discusses rate model development and key assumptions across services
    • Click here for a webinar that provides service-specific recommendations (including recommended rates)
• Provider survey analyses
  • The provider survey analysis for Case Management and Consultant services can be accessed here.
  • The provider survey analysis for all other HCBS included in the survey can be accessed here.
• Time study analyses
  • The time study analysis or Case Management and Consultant services can be accessed here.
  • The provider survey analysis for all other HCBS included in the survey can be accessed here.