Centers for Medicare and Medicaid approved the Yes Waiver amendment extending eligibility to children and adolescents in DFPS conservatorship.

  • Youth Empowerment Services (YES) serves to prevent or reduce institutionalization of children and adolescents ages 3-18 with Serious Emotional Disturbance (SED)
  • The YES Waiver enables more flexibility in providing intensive community-based services for children and adolescents with SED, and provides support for their families and foster families by improving access to
  • Prevent or reduce inpatient psychiatric admissions for children and adolescents with SED
  • Provide a more complete continuum of community-based services and supports for youth with SED and their families, foster families, kinship families or other licensed care.
  • Ensure families have access to parent partners and other flexible non-traditional support services identified in a family-centered planning process
  • Improve the clinical and functional outcomes of children and adolescents with SED


The caseworker or the medical consenter can refer for services.

If you think your child or youth may benefit just call the number. The local mental health authority will determine eligibility.


What do I do first?

  • CPS caseworker OR medical consenter makes a phone call to the Local Mental Health Authority (LMHA) YES Waiver Inquiry line associated with the child’s physical address.
  • To find the appropriate LMHA
    • Copy the following into your browser: http://www.dshs.texas.gov/mhsa/yes/Find-Your-Local-Mental-Health-Authority.aspx
    • Select: YES Waiver Inquiry Line by County (view first).
    • Select the county the youth resides in and call the inquiry line:

Second Step:

  • The LMHA will call the caseworker or medical consenter within 24 business hours of the inquiry to set up the Child and Family Team meeting intake.
  • The intake will be scheduled and must be attended by the youth and the medical consenter. If the caseworker is not the medical consenter it is recommended that the caseworker attended but not mandatory.
  • At that time, a Clinical Eligibility of Determination will be made and the youth will be enrolled

Third Step:

  • After enrollment, the LMHA will call the CPS caseworker and ask for the Yes Waiver information enrollment form.
    • This brief form is used to identify all parties/persons who will be invited by the LMHA to the initial meeting.
    • This form is used to give the LMHA any relevant information about family dynamics or other information that may affect the flow of the meeting such as domestic violence, protective orders or other pertinent information.

Fourth Step:

  • The initial Child and Family Team (CFT) meeting must occur within 30 days of the LMHA completing the Clinical Eligibility Determination
  • The LMHA will give the enrollment form provided by the CPS caseworker to the wraparound facilitator within 7 business days of the request from the LMHA.
  • The wraparound facilitator will coordinate the Child and Family Team (CFT) Initial Meeting

During the initial meeting an array of services will be agreed upon. Monthly meetings coordinated and facilitated by the LMHA will continue as long as the youth is eligible for the services.