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DD Waiver Case Management: Safe and Structured

The Developmental Disabilities Waiver (“DD Waiver”) program is designed to ensure that individuals with developmental disabilities are able to lead an active life and avoid institutionalization.

Program participants work with a team to craft an individualized service plan and budget designed to achieve their dreams, ensure their health and safety and provide supports in all life areas as needed, including at home, in the community and at work.

Visions Case Management was founded in 1994 specifically to provide high quality case management to DD Waiver participants, and we’ve been doing so ever since. Our experienced Case Managers are ready to help you with all aspects of the program, including maintaining eligibility, organizing and completing required paperwork, setting up a budget that meets your needs, working with state and private agencies, and advocating for you and your rights when challenges arise. After more than 25 years, nobody knows the DD Waiver better than we do, and our Case Managers are ready to work on your behalf.

Check out our Community Resource Directory by clicking here.

Louann Cruz
Program Manager


I have worked in the medical and the social services field for over 20 years. I have a degree in Social Work and graduated from Eastern New Mexico University. I have worked with children and adults in the public schools, state agencies and other private sectors and continue to enjoy working with so many amazing individuals. Working with Visions, I cover the Santa Fe area.

I am native to northern New Mexico and have lived in New Mexico all my live. I currently live in Santa Fe, NM and have been living there for 7 years. Prior to Santa Fe, I lived in other parts of NM. I come from a large family and enjoy many of New Mexico’s wonderful traditions. I love New Mexico’s diversity and beauty and could not think of a better state to live in. I love being outdoors and spending time with my family. In my spare time, I love hiking, fishing and taking pictures of our beautiful state. I enjoy meeting new people and being introduced to different cultures and food, so I take the opportunity to try new things.

Andrea Miranda
Case Manager


I joined the Visions team in May 2018 but have been in the field for about 7 years in different roles prior to this position. Most of my background is in the social services sector. I’ve worked in different roles in the DD waiver and did case management for troubled youth for some time. I was born in California and moved to Santa Fe New Mexico with my family when I was 3, I have been here since then. I have served different regions of New Mexico along my years of experience; in my previous job half my caseload resided in Espanola and in Rio Arriba county. In my current position with Visions I serve in Santa Fe and Albuquerque. I’m extremely passionate about my job and enjoy what I do very much! I have two boys that keep me extremely busy when I’m not working. All the things I enjoy doing outside of work revolve around them. Some of my favorite things to do with my children include road trips, camping, and being involved in their school events. During my free and alone time, I enjoy hiking and love a spa day when I can get away with one!

Denise Pacheco-Griego
Case Manager

I have been with Visions Case Management since June, 2016. I retired from the State of NM on May 31, 2016. During my career with the state, I worked in different capacities as a social worker providing case management and service coordination. My experience ranges from working with families, adults, and children ranging in ages from 0-17 and with the elderly/disabled population. My education and background is in Social Work at a Masters level. I was born in Espanola, NM and grew up in the Chamita area. I moved to Guadalupita, NM (Mora County) in March, 2000 and continue to live in this beautiful, mountain area. My favorite hobbies are reading, scrapbooking, camping and just spending time with family. I have three beautiful children, a son-in-law and a husband whom I have been married to for nearly twenty years. I enjoy being at home during the weekends, but when given the opportunity, I like going out to watch a good movie or taking a drive to visit family. My spirituality also plays a big role in my life and this is what keeps me centered.
Paula Martin
Case Manager


I was born and raised most of my life in Las Vegas, NM. I spent some time in Missouri, but missed my community and had to come back to New Mexico. I moved back to Las Vegas in 2007 and then moved to Santa Fe in 2020. I have a background in Healthcare, including long term care and home health. I recieved a BA in Psychology from NMHU in 2019 and started working with Espanola CYFD right out of college. I joined Visions' team in April 2022 and have found that I absolutely love my clients, the DD waiver and the communities I serve. I currently serve the Northeast region, including Las Vegas, Santa Fe, Espanola and surrounding areas. If I'm not working, you can find me at the park or the mall with my kids, listening to a good book or back home in Vegas spending time with family. 

Sharon Cahoon
Case Manager

I have a Bachelors of Science in Psychology from Old Dominion University in 1994 and a Master's of Science in Education in Counseling from ODU in 1998. I have been working professionally in the mental health field since 1999 I started working with DD clients in 1994 with internship, and then again as a Case Manager since 2003. I have been with Visions since 2006. Originally from Virginia Beach, Virginia, I moved to New Mexico in 2001, and currently live in Ojo Caliente, NM. I serve the Rio Arriba and Los Alamos counties. My hobbies include lots of craft mediums, traveling, and hanging with family.
Teresa Maestas
Case Manager


I have been employed with Visions since September of 2007. I serve Rio Arriba, Santa Fe, Taos, and Bernalillo Counties. Prior to being a Case Manager, I worked with people with disabilities for 23 years. I started by providing direct care and then became a House Manager. I was also the Program Manager for several years during this time. I live in the small farming community of Medanales. I have lived here all my life and enjoy working my small farm. I grow and can my own vegetables. I also come from a family of weavers. I taught weaving at Ghost Ranch for 12 years in my younger days. I spend my free time enjoying my grandchildren. 

Vangeline Hatahlie
Case Manager


My name is Vangie Hatahlie. I am new to Visions Case Management but not new to the field of working with individuals with developmental disabilities. I have worked with individual with developmental disabilities in New Mexico and Arizona. I will be working in the Northwest Region, San Juan County, NM. I enjoy spending time with my family, being outdoors, and enjoy living in the great southwest!