Estimate service costs and annual budget allocation for New Mexico DD Waiver services.
Custom Rate (Enter Manually)
Customized Community Supports – Group (15 min)
Customized Community Supports – Individual (15 min)
Respite (15 min)
Supported Living (Daily)
Family Living (Daily)
Employment Supports (15 min)
Therapies – PT/OT/SLP (15 min)
Per Day
Per Week
Per Month
Cost per Selected Period:$0.00
Total Annual Units:0
Estimated Monthly Average:$0.00
Total Annual Budget Allocation:$0.00
Note: Rates are estimates based on standard fee schedules. Actual reimbursement may vary based on acuity level (Tiers 1-3), location, and specific provider contracts with the NM DOH.
function updateRatePreset() {
var serviceSelect = document.getElementById('serviceType');
var rateInput = document.getElementById('ratePerUnit');
var selectedValue = serviceSelect.value;
// Approximate 2024/2025 rates for estimation purposes
// These are illustrative averages as exact rates depend on tiers
var rateMap = {
'custom': ",
'ccs_group': '7.56',
'ccs_ind': '10.25',
'respite': '6.80',
'living_supp': '225.00',
'family_living': '145.00',
'emp_supp': '9.50',
'therapies': '28.00'
};
if (rateMap[selectedValue] !== ") {
rateInput.value = rateMap[selectedValue];
}
}
function calculateDDBudget() {
// Get Input Values
var rate = parseFloat(document.getElementById('ratePerUnit').value);
var units = parseFloat(document.getElementById('unitQuantity').value);
var freq = document.getElementById('frequency').value;
var weeksYear = parseFloat(document.getElementById('weeksPerYear').value);
// Validation
if (isNaN(rate) || isNaN(units) || isNaN(weeksYear)) {
alert("Please enter valid numbers for Rate, Units, and Weeks.");
return;
}
// Logic Calculation
var costPerPeriod = rate * units;
var totalAnnualCost = 0;
var totalAnnualUnits = 0;
// Convert based on frequency to get Annual totals
if (freq === 'day') {
// Assuming 5 days a week for daily calculation in a work context,
// or 7 days if residential. For safety, we multiply by 7 then weeks.
// However, usually "Per Day" implies "Every Day the service is provided".
// Let's normalize to Weekly first for consistency.
var weeklyUnits = units * 7;
if(document.getElementById('serviceType').value === 'ccs_group' || document.getElementById('serviceType').value === 'ccs_ind') {
// Day programs usually 5 days
weeklyUnits = units * 5;
}
totalAnnualCost = (weeklyUnits * rate) * weeksYear;
totalAnnualUnits = weeklyUnits * weeksYear;
} else if (freq === 'week') {
totalAnnualCost = costPerPeriod * weeksYear;
totalAnnualUnits = units * weeksYear;
} else if (freq === 'month') {
totalAnnualCost = costPerPeriod * 12; // Assuming 12 months
totalAnnualUnits = units * 12;
}
var monthlyAverage = totalAnnualCost / 12;
// Update DOM
document.getElementById('periodCost').innerText = "$" + costPerPeriod.toLocaleString(undefined, {minimumFractionDigits: 2, maximumFractionDigits: 2});
document.getElementById('annualUnits').innerText = totalAnnualUnits.toLocaleString();
document.getElementById('monthlyAvg').innerText = "$" + monthlyAverage.toLocaleString(undefined, {minimumFractionDigits: 2, maximumFractionDigits: 2});
document.getElementById('annualTotal').innerText = "$" + totalAnnualCost.toLocaleString(undefined, {minimumFractionDigits: 2, maximumFractionDigits: 2});
// Show Results
document.getElementById('resultsArea').style.display = 'block';
}
Understanding New Mexico DD Waiver Rates
The New Mexico Developmental Disabilities (DD) Waiver program provides critical funding for services supporting individuals with intellectual and developmental disabilities. For families, case managers, and service providers, navigating the complex fee schedule and reimbursement rates is essential for creating sustainable Individual Service Plans (ISP) and ensuring budget neutrality.
This NM DD Waiver Rates Calculator assists in estimating the financial impact of specific service codes on an annual budget. By inputting the unit rate and frequency of service, stakeholders can project total costs and ensure services remain within the allocated budget caps determined by the individual's Level of Care (LOC) and Jackson Class status.
Key Components of the Rate Structure
Unit of Service: Most services are billed in specific increments.
15-Minute Units: Common for Customized Community Supports (CCS), Respite, and Therapies.
Daily Rates: Applied to residential services like Family Living and Supported Living.
Monthly Rates: Typically used for Case Management fees.
Acuity Levels (Tiers): New Mexico utilizes a tiered reimbursement system (Level 1, 2, 3, etc.) based on the individual's assessed needs. Higher acuity levels generally correspond to higher reimbursement rates to account for the increased staffing and support required.
Geographic Factors: While many rates are standard statewide, certain services may have variance or additional add-ons depending on rural vs. urban provider designations or legislative rate increases aimed at workforce retention.
How to Use This Calculator for Budgeting
To get the most accurate estimate for your ISP budget:
Identify the Service Code: Select the service type from the dropdown menu. If you have a specific rate letter from the Department of Health (DOH) with an exact rate (e.g., $8.44/unit), select "Custom" and enter that exact figure.
Determine Frequency: Enter how many units are utilized per week. For example, if an individual attends a day program for 4 hours a day, 5 days a week, that equals 20 hours. Since units are 15 minutes, calculate: 20 hours * 4 units/hour = 80 units per week.
Account for Absences: When projecting annual costs, it is rare for a service to be used 52 weeks a year perfectly due to holidays, sickness, or vacations. Adjust the "Weeks billed per Year" input (e.g., to 48 or 50) to create a more realistic financial projection.
Common Service Codes and Descriptions
Customized Community Supports (CCS): Often split into Group and Individual rates. This service promotes community inclusion and independence. Rates vary significantly based on the staff-to-individual ratio.
Supported Living: A 24-hour residential service model. Reimbursement is a daily rate intended to cover room, board, and staffing. The rate is highly dependent on the medical and behavioral acuity of the residents in the home.
Respite: Provides relief to primary caregivers. It is billed in 15-minute increments and has an annual financial cap that must be monitored closely to avoid overage.
Disclaimer: This calculator is for estimation and planning purposes only. Official billing must adhere to the current New Mexico Department of Health Fee Schedule and the approved budget in the individual's ISP. Rates are subject to legislative changes.