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Developmental Disabilities Waiver

The Developmental Disabilities (DD) Waiver program also known in New Mexico as the “traditional DD waiver” is designed to provide Services and Supports that assist eligible children and adults with Intellectual and Developmental Disabilities (IDD) to participate as active members of their communities. The DD Waiver is one of several waivers available in New Mexico. The program serves as an alternative to institutional care.

New Mexico’s traditional DD Waiver Program is a person-centered, community-oriented approach to deliver supports for people with intellectual and developmental disabilities (IDD). The approach emphasizes:

  • That people with IDD oversee their lives as much as possible.
  • That people with IDD have opportunities to use resources in ways that enhance their lives and help them participate in their communities.
  • A shared responsibility for the wise use of public dollars and the contribution that people with IDD and their families can make.
  • That the system is managed in a way that is efficient and fair to everyone.

Please visit the Intake and Eligibility page for contact information to check your status on the Central Registry (Waiting List) or to learn how to apply.

General Information

Since the late 1970's there has been a national movement to provide services and supports to individuals with developmental disabilities in the community rather than in institutions. While there has been a significant shift to community-based care nationwide, New Mexico is the leader in this area. New Mexico has used waiver funding to support people with intellectual and developmental disabilities since 1984. Every five years New Mexico needs to apply to the Centers for Medicare and Medicaid Services for federal approval to renew the DD Waiver Program under Federal 1915(c) Home and Community-Based Services (HCBS) Waiver rules. The New Mexico’s Human Services Department HSD administers the DD Waiver while Developmental Disabilities Supports Division (DDSD) is the operating agency.

Please visit the New Mexico Human Services Department website to find updates on the currently approved Developmental Disabilities Waiver and any requests for public comment.

On January 16, 2014, Centers for Medicare and Medicaid Services published a Final Rule addressing several sections of the Social Security Act. The Final Rule amends the regulations which govern the HCBS waiver programs. These rules are an important step forward in federal policy, supporting inclusion and integration of people with intellectual and developmental disabilities in the community.

The Final Rule applies to New Mexico’s HCBS waiver programs including the DD Waiver. All states are required to comply with the new rule by March 2019. The NMDOH (DDSD) launched the Know Your Rights Campaign which refers to New Mexico’s activities related to raise awareness for the rights of individuals with intellectual and developmental disabilities to participate in integrated living, vocational, educational, recreational, social and leisure activities in the community.

Public Input

DDSD will afford stakeholders the opportunity to provide comments and feedback to DDSD about initiatives, service standards, and operations under the Developmental Disabilities Waiver. Please continue checking here for any upcoming public input request.

DDW Service Standards Simplification:

Communication to the Field

DDSD releases a variety of different types of communications. Please continue reading for more information regarding numbered memos, news alerts, and activities such as public events and webinars.

Numbered Memos

These numbered memos provide important information for DD Waiver providers and interested parties.


  • DDSD Numbered Memo 2023-08: Mandatory Use of Therap for Behavior Support Documentation
  • DDSD Numbered Memo 2023-07: Electronic Census Requirements in Therap
  • DDSD Numbered Memo 2023-06: Preview of DD Waiver Service Standards Edits and Opportunity for Feedback
  • DDSD Memo Therapy Delivery July 2023: Clarification of Expectations for the Collaborative-Consultative (C-C) Model (2021 DDW Standards section 12.4.2)
  • DDSD Numbered Memo 2023-05: DD Waiver Standards Chapter 22.4: Preparation of an Annual Report
  • DDSD Numbered Memo 2023-04: Developmental Disabilities Waiver Budget Transitions from the University of New Mexico (UNM) Outside Reviewer (OR) to the Medicaid Third Party Assessor (TPA)
  • DDSD Numbered Memo 2023-03: Regional Office Request for Assistance (RORA)- Provider Shortages
  • DDSD Numbered Memo 2023-02: Instructions for smooth transition of services provided by terminated providers
  • DDSD Numbered Memo 2023-01: Master List of Definitions 2023
  • 2022

  • DDW Numbered Memo 2022-10: DDSD Individual Transition Plan Checklist
  • DDW Numbered Memo 2022-9: Suspension of Supported Employment Leadership Network (SELN)reporting requirements for State Fiscal Year (FY) 2023
  • DDW Numbered Memo 2022-8: DDW Standards Chapter 22.2: QI Plan and Key Performance Indicators (KPI)
  • DDW Numbered Memo 2022-7: Socialization and Sexuality Education (SSE) Adding Incentive Counties
  • DDW Numbered Memo 2022-6: Telehealth-Technology ISP Addendum (Rescinded)
  • DDW Numbered Memo 2022-5: Statewide Aspiration Risk List (SARL) transition to Smartsheet
  • DDW Numbered Memo 2022-4: Revisions to Comprehensive Risk Management Plan Document
  • DDW Numbered Memo 2022-3: DDW Standards Chapter 22.4: Annual Reports; Supports Waiver Standards
  • DDW Numbered Memo 2022-2: CESP or Acre Training Requirements Compliance Extension
  • DDW Numbered Memo 2022-1: Time Reconciliation between EVV and Service-Related Contact Notes
  • Mixed Caseload Communication - 7/11/22
  • 2021

  • DDW Numbered Memo 2021-13: DDSD Contract Management and Timely Submission of Annual ISP, Budget Worksheet
  • DDW Numbered Memo 2021-12: New Budget Worksheet and Clinical Criteria V6
  • DDW Numbered Memo 2021-11: Approval of New Mexico’s Developmental Disabilities 1915(c) Waiver
  • DDW Numbered Memo 2021-10: Emergency Physical Restraint Clarification
  • DDW Numbered Memo 2021-09: Child to Adult Transitions
  • DDW Numbered Memo 2021-08: Readiness for claims processing changes in Phase 2 Implementation of Electronic Visit Verification (EVV)
  • DDW Numbered Memo 2021-07: Clinical Criteria: Limits on Amount Frequency and Availability of Socialization and Sexuality Education (Friends and Relationships Courses) and Billing Unit Clarification in the 2021 Standards
  • DDW Numbered Memo 2021-06: Opportunity to host student nurses for IDD Clinical experience
  • DDW Numbered Memo 2021-05: Preview of Service Standards Ch.13 and Opportunity for Feedback
  • DDW Numbered Memo 2021-04: Renewal Update
  • DDW Numbered Memo 2021-03: Preview/Feedback of DDW Service Standards July 1, 2021
  • DDW Numbered Memo 2021-02: DDW Standards Chapter 22.2: QI Plan and Key Performance Indicators (KPI)
  • DDW Numbered Memo 2021-01: Clinical Review
  • Rate Study

    DDSD contracted with Public Consulting Group, Inc. (PCG) to perform a study to recommend reimbursement rates for individuals with intellectual and developmental disabilities receiving services through the traditional Developmental Disabilities (DD), self-directed Mi Via and Medically Fragile Waivers.

    For information on current Rate Study visit Developmental Disabilities


    Visit the Developmental Disabilities Waiver Training section of our website to learn more.

    Learn More

    Applications & Central Registry

    If you are interested in applying for DD Waiver or checking your status on the Central Registry, please visit the Intake and Eligibility section of our website.

    Pre-Admission Screening & Resident Review

    For more information on PASRR, please visit the Pre-Admission Screening & Resident Review section of our website.

    Additional Information

    Please visit the following quick links and for DD Waiver providers.

    Contact Information

    Please visit the Developmental Disabilities Waiver Staff Directory page for a listing of staff members for this waiver program. Additional contact information for the Financial Management Agency is provided below.

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