Case Management Services
Case management services play a critical role in supporting individuals to obtain their desired outcomes. For more information on case management services visit the Developmental Disabilities Supports Division (DDSD) website or contact the DDSD case management coordinators in the regional offices.
QMB provides regulatory oversight of case management agencies and conducts unannounced surveys of case management agencies to ensure compliance Centers for Medicare and Medicaid Services waiver assurances, DDSD standards and other rules and regulations.
Conditions of Participation
Case management services primarily focus of the following Centers for Medicare and Medicaid Services waiver assurance service domains: service plans; (ISP development & monitoring); level of care; qualified providers; health, safety and welfare. Identified within each service domain there are fundamental core regulations and standards identified as Conditions of Participation (COPS) essential compliance with COPS is necessary in order to ensure the health and welfare of individuals served.
Plan of Correction Process
Upon completion of a QMB survey the case management agency receives a report of findings. Upon receipt of the report of findings the case management agency must submit a Plan of Correction (POC) to address all identified deficiencies in the Report of findings within 10 working days. For instructions on how to complete the initial plan of correction see QMB Plan of Correction Process (Attachment A).
The submitted POC is then approved by QMB. The agency has 45 days from the date of receiving the Report of Findings to implement their Plan of Correction.
On rare occasions, it may be necessary to request a time extension to complete a component of a POC. A written request for a time extension must be submitted to the POC coordinator with an explanation as to why the addition time is needed and when it will be completed. QMB will review the request for the extension and notify the provider if approved or not approved.
Requests for technical assistance must be requested through your regional DDSD Office.
Survey Field Tools
The QMB Field Tools are available to the public and case management agencies. The case management survey field tools identifies the criteria used to assess if an agency is in compliance with requirements. Case management agencies my find them helpful when conducting a self-test to measure their own performance to identify opportunities for quality improvement.
Report of Findings
Previously completed survey reports appear below sorted by provider, region, and date.
A Step Above Case Management
Metro & Northwest & Southwest
Metro & Northwest
- DDW-CMGS-StepAbove-MET-NW-201902-Routine
- DDW-CMGS-StepAbove-MET-NW-201607-Routine
- DDW-CMGS-StepAbove-MET-NW-201507-Routine
Metro & Northeast & Northwest & Southwest
Advocates of New Mexico, LLC
Metro
- DDW-CMGS-Advocates-MET-201709-Routine
- DDW-CMGS-Advocates-MET-201509-Routine
- DDW-CMGS-Advocates-MET-201502-Initial
Amigo Case Management, Inc.
Metro
- DDW-CMGS-Amigo-MET-201906-Routine
- DDW-CMGS-Amigo-MET-201606-Routine
- DDW-CMGS-Amigo-MET-201504-Routine
Metro & Southwest
- DDW-CMGS-Amigo-MET-SW-202106-Routine
- DDW-CMGS-Amigo-MET-SW-201806-Routine
- DDW-CMGS-Amigo-MET-SW-201705-Routine
Behavioral Health Institute (NMBHI)
Northeast
- DDW-CMGS-BehavioralHealthInstitute-NE-201511-Routine
- DDW-CMGS-BehavioralHealthInstitute-NE-201403-Routine
Northeast & Southeast
Carino Case Management
Metro
- DDW-CMGS-Carino-MET-202204-Routine
- DDW-CMGS-Carino-MET-201906-Routine
- DDW-CMGS-Carino-MET-201806-Routine
- DDW-CMGS-Carino-MET-201705-Routine
- DDW-CMGS-Carino-MET-201605-Routine
- DDW-CMGS-Carino-MET-201503-Routine
Excel Case Management Inc.
Northwest
- DDW-CMGS-Excel-NW-202301-Routine
- DDW-CMGS-Excel-NW-202205-Verification
- DDW-CMGS-Excel-NW-202111-Routine
- DDW-CMGS-Excel-NW-201902-Routine
- DDW-CMGS-Excel-NW-201710-Routine
- DDW-CMGS-Excel-NW-201611-Routine
- DDW-CMGS-Excel-NW-201511-Routine
- DDW-CMGS-Excel-NW-201409-Routine
Southeast
- DDW-CMGS-Excel-SE-202111-Routine
- DDW-CMGS-Excel-SE-201901-Routine
- DDW-CMGS-Excel-SE-201710-Routine
- DDW-CMGS-Excel-SE-201611-Routine
- DDW-CMGS-Excel-SE-201511-Routine
- DDW-CMGS-Excel-SE-201409-Routine
Heart of NM Case Management
Southwest
J & J Home Care, Inc.
Southeast
- DDW-CMGS-JJ-SE-2023010-Verification
- DDW-CMGS-JJ-SE-202304-Routine
- DDW-CMGS-JJ-SE-202201-Routine
- DDW-CMGS-JJ-SE-201905-Routine
- DDW-CMGS-JJ-SE-201709-Routine
- DDW-CMGS-JJ-SE-201610-Routine
- DDW-CMGS-JJ-SE-201510-Routine
- DDW-CMGS-JJ-SE-201403-Routine
New Vision Case Management
Metro
- DDW-CMGS-NewVision-MET-201904-Routine
- DDW-CMGS-NewVision-MET-201805-Routine
- DDW-CMGS-NewVision-MET-201706-Routine
- DDW-CMGS-NewVision-MET-201605-Routine
- DDW-CMGS-NewVision-MET-201501-Routine
Metro & Northeast
Peak Development Services, Inc.
Metro & Northeast & Northwest
Metro & Northwest
- DDW-CMGS-Peak-MET-NW-201903-Routine
- DDW-CMGS-Peak-MET-NW-201805-Routine
- DDW-CMGS-Peak-MET-NW-201703-Routine
- DDW-CMGS-Peak-MET-NW-201603-Routine
- DDW-CMGS-Peak-MET-NW-201501-Routine
Southeast & Southwest
- DDW-CMGS-Peak-SE-SW-202201-Routine
- DDW-CMGS-Peak-SE-SW-201903-Routine
- DDW-CMGS-Peak-SE-SW-201805-Routine
- DDW-CMGS-Peak-SE-SW-201703-Routine
- DDW-CMGS-Peak-SE-SW-201602-Routine
- DDW-CMGS-Peak-SE-SW-201410-Routine
Professional Case Coordination Services,LLC
Metro & Northwest & Southeast
- DDW-CMGS-ProfessionalCase-MET-NW-SE-202310-Routine
- DDW-CMGS-ProfessionalCase-MET-NW-SE-202010-Initial
Quality Case Management, Inc.
Metro
- DDW-CMGS-Quality-MET-202403-Routine
- DDW-CMGS-Quality-MET-201810-Routine
- DDW-CMGS-Quality-MET-201712-Routine
- DDW-CMGS-Quality-MET-201701-Routine
- DDW-CMGS-Quality-MET-201601-Routine
- DDW-CMGS-Quality-MET-201409-Routine
Metro & Northwest
Rio Puerco Case Management, LLC
Northwest
- DDW-CMGS-RioPuerco-NW-202207-Routine
- DDW-CMGS-RioPuerco-NW-202001-Routine
- DDW-CMGS-RioPuerco-NW-201812-Routine-Survey
- DDW-CMGS-RioPuerco-NW-201801-Routine
- DDW-CMGS-RioPuerco-NW-201702-Routine
- DDW-CMGS-RioPuerco-NW-201602-Routine
- DDW-CMGS-RioPuerco-NW-201409-Initial
Sun Country Case Management
Southwest
- DDW-CMGS-SunCountry-SW-202303-Routine
- DDW-CMGS-SunCountry-SW-202104-Routine
- DDW-CMGS-SunCountry-SW-201809-Routine
- DDW-CMGS-SunCountry-SW-201709-Routine
- DDW-CMGS-SunCountry-SW-201609-Routine
- DDW-CMGS-SunCountry-SW-201509-Routine
- DDW-CMGS-SunCountry-SW-201404-Routine
Unidas Case Management, Inc.
Metro & Northeast & Southwest
Metro & Northeast
- DDW-CMGS-Unidas-MET-NE-202008-Routine
- DDW-CMGS-Unidas-MET-NE-201810-Routine
- DDW-CMGS-Unidas-MET-NE-201707-Routine
- DDW-CMGS-Unidas-MET-NE-201607-Routine
- DDW-CMGS-Unidas-MET-NE-201507-Routine
Southwest
- DDW-CMGS-Unidas-SW-202008-Routine
- DDW-CMGS-Unidas-SW-201811-Routine
- DDW-CMGS-Unidas-SW-201707-Routine
- DDW-CMGS-Unidas-SW-201607-Routine
- DDW-CMGS-Unidas-SW-201507-Routine
- DDW-CMGS-Unidas-SW-201407-Routine
- DDW-CMGS-Unidas-SW-201305-Routine
- DDW-CMGS-Unidas-SW-201206-Routine
- DDW-CMGS-Unidas-SW-201007-Routine
Unique Opportunities Case Management
Metro
Albuquerque (Carlisle)
- DDW-CMGS-UniqueOpportunities-MET-AlbuquerqueCarlisle-202009-Routine
- DDW-CMGS-UniqueOpportunities-MET-AlbuquerqueCarlisle-201810-Routine
- DDW-CMGS-UniqueOpportunities-MET-AlbuquerqueCarlisle-201709-Routine
- DDW-CMGS-UniqueOpportunities-MET-AlbuquerqueCarlisle-201609-Initial
Albuquerque (San Pedro)
- DDW-CMGS-UniqueOpportunities-MET-AlbuquerqueSanPedro-201508-Routine
- DDW-CMGS-UniqueOpportunities-MET-AlbuquerqueSanPedro-201403-Routine
Visions Case Management
Northeast
- DDW-CMGS-Visions-NE-201906-Routine
- DDW-CMGS-Visions-NE-201806-Routine
- DDW-CMGS-Visions-NE-201712-Verification
- DDW-CMGS-Visions-NE-201704-Routine
- DDW-CMGS-Visions-NE-201604-Routine
- DDW-CMGS-Visions-NE-201411-Routine