The YES (Youth Empowerment Services) Waiver is a Medicaid Home and Community-Based Services Waiver that allows for more flexibility in the funding of intensive community-based services to assist children and adolescents with serious emotional disturbances (SED) to live in the community with their families. Waiver services are provided in combination with services available through the Medicaid State Plan, other federal, state, and local programs the individual may qualify for, and the natural support that families and communities provide.
Goals of the YES Waiver
- To improve the clinical and functional outcomes of children and adolescents with serious emotional disturbance
- To provide a more complete continuum of community-based services and supports for children and adolescents with SED and their families
- To ensure families have access to parent partners and other flexible non-traditional support services as identified in a family-centered planning process
- To prevent entry and recidivism into the foster care system and relinquishment of parental custody, and
- To reduce out-of-home placements and inpatient psychiatric treatment by all child-serving agencies.
YES Waiver Services
Respite - Respite is available as service on a short-term basis.
It may be provided in:
- Participant's home or place of residence
- Private residence of a respite care provider (if that provider is a relative of the participant other than the waiver participant, spouse, legal guardian, or legally authorized representative)
- Foster home
- Day or overnight camps
- Child care centers or homes
Community Living Supports -Used to facilitate the participant's reaching their goals: For example, remaining in their home and being included in their communities. Supports may be provided in participant's residence or in community settings (including libraries, city pools, camps, etc.).
Family Supports - Peer mentoring and support to the primary caregivers; engages family in the treatment process; models self-advocacy skills; provides information, referral and non-clinical skills training; maintains engagement; and assists in the identification of natural/non-traditional and community support systems.
Transitional Services - A one-time, non-recurring allowable expense. TS may be provided when a participant transitions from an institution, provider operated setting, or family home to their own private community residence.
Assistance may include:
- Utility and security deposits for the home/apartment
- Household items such as linens and cooking utensils
- Essential furnishings
- Moving expenses
- Services to ensure health and safety in the apartment/home (e.g., pest eradication, allergen control, one-time cleaning)
Adaptive Aids & Supports - Devices and supports that help participants with their SED needs. AAS are essentially modifications to the YES participant’s environment, which must directly fit into their plan of care. For example, a lock may be bought for a family who has a child who has tendencies to run away. Modifying a toilet for a child that is paraplegic is another example of using AAS services.
Minor Home Modifications - Services contribute to the community functioning and help participants to avoid institutionalization. MHMs must be age appropriate and related to needs as determined by the child and family team through the plan of care. MHM services include home accessibility/safety adaptations, physical adaptations to residence, such alarm systems, alert systems etc.
Non-Medical Transportation - Transportation that assists participants to gain access to waiver and other community services, activities and resources, as specified by service plan.
Paraprofessional Services - A behavioral aide that supports the participant to meet goals. PPS is provided under the direction of a licensed behavioral health professional.
- Mentoring and Coaching - Skilled mentoring would be provided by an individual who has had additional training/experience working with children/adolescents with mental health problems. For example, a teenager with severe behavior problems may require mentoring from a person with behavioral management expertise.
- Paraprofessional Aide -Aide assists the waiver participant in preventing and managing behaviors stemming from SED that create barriers to inclusion in integrated community activities such as after-school care or day care.
- Job Placement - Help finding employment, e.g. developing a resume and completing applications.
Professional Services - The goal of Professional Services is to maintain or improve the youth’s health, welfare, and/or effective functioning in the community.
- Art Therapy
- Music Therapy
- Nutritional Counseling
- Animal-assisted Therapy
Supportive Family Based Alternatives - With Supportive Family Based Alternatives, therapeutic support and model behaviors are provided for the participant's family. The goal is to help the child or youth return to their family in the community (e.g. temporarily reside within in a home other than the home of their family). A Child-Placing Agency will recruit, train and certify the support family and coordinate with the participant's family.
Supported Employment - Services assist people in choosing, getting and keeping employment. This service is provided, in order to sustain competitive employment, to an individual who, because of a disability, requires intensive, ongoing support to be self-employed, work from home, or perform in a work setting at which individuals without disabilities are employed. Supported employment includes employment adaptations, supervision, and training related to an individual’s assessed needs. Individuals receiving supported employment earn at least minimum wage (if not self-employed).