MedicaidDocumentationMedium impact
Supplement 26-04: Medical Assistance Division (MAD) 378, Long Term Care Medical Assessment Abstract, Level of Care (LOC) Provider Guidance
New Mexico Medicaid·NM · Family Medicine, General Practice, Internal Medicine·Enrollment
Effective date
Jun 22, 2026
We identified it
Jun 23, 2026
Summary
New Mexico Medicaid is clarifying requirements for Primary Care Providers to complete and sign the Long-Term Care Medical Assessment Abstract (MAD 378) for patients with intellectual and developmental disabilities seeking DD and Mi Via Waiver services. Delays in completing this form can delay access to waiver services and may result in termination of benefits for annual recertifications.
Action Required
Immediately: Primary Care Providers in New Mexico must ensure timely completion and signing of the Long-Term Care Medical Assessment Abstract (MAD 378) for all patients with intellectual and developmental disabilities applying for or renewing DD and Mi Via Waiver services. Download the form from https://www.hca.nm.gov/wp-content/uploads/MAD-378.pdf and establish workflows for annual recertification. Failure to complete the form timely may result in delayed access to services or termination of waiver benefits.