Mi via Self-directed Waiver: Service and Support Back-Up Plan Acknowledgement Form is a legal document that was released by the New Mexico Department of Health - a government authority operating within New Mexico.
Q: What is the Mi Via Self-directed Waiver?
A: The Mi Via Self-directed Waiver is a program in New Mexico that allows individuals with disabilities to have more control over their services and supports.
Q: What is the Service and Support Back-Up Plan Acknowledgement Form?
A: The Service and Support Back-Up Plan Acknowledgement Form is a document that individuals participating in the Mi Via Self-directed Waiver program in New Mexico must complete.
Q: What is the purpose of the Service and Support Back-Up Plan Acknowledgement Form?
A: The purpose of the Service and Support Back-Up Plan Acknowledgement Form is to ensure that individuals have a plan in place to address any gaps in services and supports in case of emergencies or other situations.
Q: Who needs to complete the Service and Support Back-Up Plan Acknowledgement Form?
A: Individuals who are participating in the Mi Via Self-directed Waiver program in New Mexico need to complete the Service and Support Back-Up Plan Acknowledgement Form.
Q: What happens if an individual does not complete the Service and Support Back-Up Plan Acknowledgement Form?
A: If an individual does not complete the Service and Support Back-Up Plan Acknowledgement Form, they may be ineligible for the Mi Via Self-directed Waiver program.
Q: Is the Service and Support Back-Up Plan Acknowledgement Form specific to New Mexico?
A: Yes, the Service and Support Back-Up Plan Acknowledgement Form is specific to the Mi Via Self-directed Waiver program in New Mexico.
Form Details:
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New Mexico Department of Health.