Projects for New Mexico Department of Health, Developmental Disabilities Division

New Mexico Provider Rate Setting

Service Category: HCBS Rate Setting

Developed a published rate schedule for existing and new home and community based services covered under DDSD’s 1915(c) waiver extension as well as a resource allocation model based on the SIS assessment. Key activities include assisting DDSD in defining service standards and billing rules, conducting a provider survey and other special studies (focus groups, differences between costs in different regions, and researching external data sources), providing briefings to providers, clients and policymakers, and developing fiscal analyses and implementation strategies. In addition, developed resource allocation model options and led a clinical validation study including national clinical experts (physicians, psychologists, therapists (PT, OT, Speech).

Bookmark the permalink.