The YES Waiver for Medicaid Members: What You Need to Know

The YES Waiver for Medicaid Members: What You Need to Know

What is the YES Waiver?

The Youth Empowerment Services (YES) Wavier is a Medicaid program that helps youth ages 3-18 years old with serious developmental, emotional, and behavioral difficulties. The YES waiver provides intensive services delivered within a strengths-based team planning process called wraparound. Wraparound builds on family and community support to build a family’s natural support network and connection with the community. The goal of the YES Waiver is to prevent out of home placement. It is a short-term waiver that lasts 6-18 months, dependent on the child’s needs. Services include:

  • Respite Services
  • Community Living Supports
  • Specialized Therapies
  • Family Supports
  • Employment Assistance and Supported Employment
  • Adaptive Aids and Supports
  • Minor Home Modifications
  • Non-medical Transportation
  • Paraprofessional Services
  • Supportive Family-based Alternatives
  • Transition Services

Who is eligible for YES Waiver services?

Any child ages 3-18 years old who:

  • has serious mental, emotional and behavioral difficulties;
  • has a qualifying mental health diagnosis;
  • is at risk for placement outside of the home due to mental health needs;
  • meets criteria to be in a psychiatric hospital;
  • is eligible for Medicaid (parent income is waived); and
  • currently lives in a home setting with a legal guardian or on his/her own.

How do I refer a child who meets the above requirements?

A child’s legal guardian (or child if independent) can contact the Local Mental Health Authority to request an assessment for The YES waiver program.

LMHA contact numbers:

The Harris Center – 713-970-7212

Texana – 281-239-1485

Gulf Coast – 409-944-4555

Tri County – 800-347-5208

Spindletop – 409-839-1063

HHSC Inquiry line for all LMHAs – 512-838-4334

 

Please go to https://hhs.texas.gov/services/mental-health-substance-use/childrens-mental-health/yes-waiver for more information on the YES Waiver.

Share this post

Leave a Reply

Your email address will not be published. Required fields are marked *