Palco is proud to be supporting Conduent and the New Mexico Human Services Department with the Mi Via program, Self-Directed Care Benefit (SDCB), and the Supports Waiver (SW). For more information on these programs, visit: https://www.hsd.state.nm.us/
Palco se enorgullece de apoyar a Conduent y al Departamento de Servicios Humanos de Nuevo México con el programa Mi Via, el Beneficio de atención autodirigida (SDCB) y la Exención de apoyos (SW) a partir de 2021. Para obtener más información sobre estos programas, visite: https://www.hsd.state.nm.us/
For the New Mexico Veteran-Directed HCBS program, please click here:
Mi Via and Self-Directed Community Benefit Documents
Money Network Cards for Vendor Payments
Money Network Card Demo 3/13/2023 AM Session
Money Network Card Demo 3/13/2023 AM Session Transcript
Money Network Card Demo 3/13/2023 PM Session
Money Network Card Demo 3/13/2023 PM Session Transcript
Money Network Card Demo 3/15/2023 AM Session
Money Network Card Demo 3/15/2023 AM Session Transcript
Money Network Card Demo 3/15/2023 PM Session
Money Network Card Demo 3/15/2023 PM Session Transcript
User Guides
Agency Authenticare User Guide – UPDATED
EVV Workstreams
EVV HSD-MAD Information Session – 12/21/2020
EVV Telephony User Guide – Provider and Self-Directed Vendor Agencies
EVV Mobile Application User Guide – Provider and Self-Directed Vendor Agencies
Training & FAQs
EVV Agency Training Slides
EVV Agency Mobile Application Training Slides
DDW & Supports Waiver Agency Based Post Go-Live Information Session 1/15 – PDF
EVV Frequently Asked Questions
EVV Vendor Agency FAQ
EVV Forum Q&A
EVV Mobile Application FAQ – Provider and Self-Directed Vendor Agencies
EVV Agency Training Recording Link
EVV Agency Mobile App Training Recording Link
DDW & Supports Waiver Agency Based Post Go-Live Information Session 1/15 – Video
EVV Post Go-Live FAQ – DDW & Supports Waiver – 1/15/2021
Spanish
Agency AuthentiCare User Guide – Spanish
EVV Forum Q&A – Spanish
EVV Frequently Asked Questions – Spanish
EVV Mobile App FAQ – Provider and Self-Directed Vendor Agencies – Spanish
EVV Mobile App User Guide – Provider and Self-Directed Vendor Agencies – Spanish
EVV Vendor Agency FAQ – Spanish
EVV Workstreams – Spanish
User Guides
EVV Telephony User Guide – Direct Hire Employees
Authenticare Telephony Mi Via E-Codes
EVV Telephony User Guide – Direct Hire Employees – Spanish
EVV Workstreams
EVV Workstreams – Spanish
Training Slides/FAQs
EVV Training Slides
EVV Training Slides – Spanish
EVV Mi Via & Supports Waiver Training Slides
EVV Mi Via & Supports Waiver Training Slides Spanish
Mi Via EVV Exemption Code Guidance
Mi Via & Supports Waiver Post Go-Live Information Session 1/15 – PDF
EVV Frequently Asked Questions
EVV Frequently Asked Questions – Spanish
EVV Post Go-Live FAQ – Mi Via & Supports Waiver – 1/15/2021
Employer Forms
New Employers:
Employer Packet – Full
Current Employers:
IRS Form ACD 31102
SS-4 Form
Misc. Forms:
Money Network Card
Request Form for Employers
Employer Money Network Card FAQs
Money Network Card
Reimbursement Request Form
Authorized Agent Form
Intake Forms:
Participant Referral and Intake Form
Worker Forms
New Employees:
Pre-Hire Packet
Worker Packet – Full
Pay Rate Changes:
Employment Agreement
Update W-4s:
2025 Federal W-4 Form
2025 State W-4 Form
Employer Change:
Employment Agreement
Payroll Information Worksheet
Payment Options:
Pay Selection and Direct Deposit Form
Process for Payment Forms:
Employee 2 Week Timesheet
Employee 2 Week Mileage
Updating Demographics/Name:
Change of Information Form
Misc Forms:
2025 Payroll Schedule
Employment Separation Notice
Stop Payment Request Form
Money Network Card
Reimbursement Request Form
Money Network Card Validation Form
Income Verification Form
Intake Forms:
Worker Intake Form
Vendor Forms
New Vendors:
Providing Services:
Vendor Enrollment Packet
Providing Goods:
Vendor Information Form
Employer Change:
Vendor Agreement Form
Payment Options:
Pay Selection and Direct Deposit Form
Process for Payment Forms:
Vendor Payment Request Form
Non-Timesheet Invoice
Vendor Mileage Request Form
Return to Provider (RTP) Updates
Update Demographics/Name:
Change of Information Form
Misc Forms:
2025 Vendor Payment Schedule
Stop Payment Request Form
Vendor Separation Notice
Employer Forms
New Employers:
Employer Packet – Full
Current Employers:
IRS Form ACD 31102
SS-4 Form
Misc. Forms:
Money Network Card
Request Form for Employers
Employer Money Network Card FAQs
Money Network Card
Reimbursement Request Form
Authorized Agent Form
Intake Forms:
Participant Referral and Intake Form
Worker Forms
New Employees:
Pre-Hire Packet
Worker Packet – Full
Pay Rate Changes:
Employment Agreement
Update W-4s:
2025 Federal W-4 Form
2025 State W-4 Form
Employer Change:
Employment Agreement
Payroll Information Worksheet
Payment Options:
Pay Selection and Direct Deposit Form
Process for Payment Forms:
Employee 2 Week Timesheet
Employeee 2 Week Mileage
Updating Demographics/Name:
Change of Information Form
Misc Forms:
2025 Payroll Schedule
Employment Separation Notice
Stop Payment Request Form
Money Network Card
Reimbursement Request Form
Money Network Card Validation Form
Income Verification Form
Intake Forms:
Worker Intake Form
Vendor Forms
New Vendors:
Providing Services:
Vendor Enrollment Packet
Providing Goods:
Vendor Information Form
Employer Change:
Vendor Agreement Form
Payment Options:
Pay Selection and Direct Deposit Form
Process for Payment Forms:
Vendor Payment Request Form
Non-Timesheet Invoice
Vendor Mileage Request Form
Return to Provider (RTP) Updates
Update Demographics/Name:
Change of Information Form
Misc Forms:
2025 Vendor Payment Schedule
Stop Payment Request Form
Vendor Separation Notice
Empleadores y Trabajadores
Aviso de Rescisión de la Relación Laboral
Calendario de Pagos de Palco – 2025
Cambio de Información
Contrato de Empleo
Paquete de Inscripción del Empleador
Autodirigido/Participante de NM
Paquete Para el Empleado de Servicio Autodirigido y de Participantes de NM
Registro de Empleados
Remisión y Admisión de Participantes
Paquete de Percontratación de Autodirigido/Participante de NM
Formulario de Solicitud de Suspensión de Pago y de Reexpedición de Cheques
Designación de Participante/Autodirección de Agente Autorizado/Representante Personal
Instrucciones de AuthentiCare IVR
Employer Forms
New Employers:
Employer Packet – Full
Current Employers:
IRS Form ACD 31102
SS-4 Form
Misc. Forms:
Money Network Card
Request Form for Employers
Employer Money Network Card FAQs
Money Network Card
Reimbursement Request Form
Authorized Agent Form
Intake Forms:
Participant Referral and Intake Form
Worker Forms
New Employees:
Pre-Hire Packet
Worker Packet – Full
Pay Rate Changes:
Employment Agreement
Update W-4s:
2025 Federal W-4 Form
2025 State W-4 Form
Employer Change:
Employment Agreement
Payroll Information Worksheet
Payment Options:
Pay Selection and Direct Deposit Form
Process for Payment Forms:
Employee 2 Week Timesheet
Employeee 2 Week Mileage
Updating Demographics/Name:
Change of Information Form
Misc Forms:
2025 Payroll Schedule
Employment Separation Notice
Stop Payment Request Form
Money Network Card
Reimbursement Request Form
Money Network Card Validation Form
Income Verification Form
Intake Forms:
Worker Intake Form
Vendor Forms
New Vendors:
Providing Services:
Vendor Enrollment Packet
Providing Goods:
Vendor Information Form
Employer Change:
Vendor Agreement Form
Payment Options:
Pay Selection and Direct Deposit Form
Process for Payment Forms:
Vendor Payment Request Form
Non-Timesheet Invoice
Vendor Mileage Request Form
Return to Provider (RTP) Updates
Update Demographics/Name:
Change of Information Form
Misc Forms:
2025 Vendor Payment Schedule
Stop Payment Request Form
Vendor Separation Notice