Adult Nursing

Adult Nursing Services are designed to meet a variety of health conditions experienced by adults receiving services on the Developmental Disabilities Waiver (DDW) Program. These services are intended to support the highest practicable level of health, functioning and independence for individuals, age twenty-one (21) and older who:

  • reside in a Family Living setting;
  • receive Customized In-Home Supports;
  • require ANS but who do not receive Living Supports; or
  • require ANS during participation in Customized Community Supports and/or
  • Community Integrated Employment.


Adult Nursing Services are also available for young adults, age 18 through 20, who are at aspiration risk and who desire to have Aspiration Risk Management (ARM) services and are required in any circumstance where health related needs are present and those services are delivered by non-related Direct Support Personnel (DSP). This includes Substitute Care, Customized Community Supports, Customized In-Home Supports, Community Integrated Employment and people who receive Family Living services from a Surrogate Host Family.

There are two categories of Adult Nursing Service

The first category is Nursing Assessment and Consultation Services. This core nursing service provides an initial and annual comprehensive health assessment and subsequent consultation from the nurse to the individual, health decision maker/guardian and, as requested, with the team. This activity is required for all participants in Family Living, including young adults from age 18 through 20, and is available to all individuals in the service settings listed above.

The second category, Ongoing Adult Nursing Services, provides focused nursing supports that are based on the needs identified in the comprehensive health assessment. Ongoing Adult Nursing requires prior authorization and is an optional service that can be selected by individuals, their health decision maker or guardians. Several elements of ongoing Adult Nursing Services are required for certain individuals when health related supports are delivered by non-related direct support personnel in settings other than Supported Living or Intensive Medical Living services in order to comply with nursing oversight required by the New Mexico Nurse Practice Act.

Adult Nursing Services support the delivery of professional nursing services in compliance with the New Mexico Nurse Practice Act and in accordance with professional standards of practice. Adult Nursing Services are a model of nursing intended to support the individual and their family.