TX HHS Form 2806. Authorization of Youth Empowerment Services (YES) Waiver Services

The TX HHS Form 2806, Authorization of Youth Empowerment Services (YES) Waiver Services, is used to authorize a child or youth to receive services through the YES Waiver program. This form helps solve the problem of determining eligibility for YES Waiver services and outlining the specific services that will be provided.

This form requires the following information: name of individual, name of legally authorized representative, address, and date. The form also highlights key features such as the types of services included in the YES Waiver, which include respite, community living supports, family supports, paraprofessional services, professional services, adaptive aids and supports, non-medical transportation, transitional services, and minor home modifications.

The TX HHS Form 2806 should be used when a child or youth meets all eligibility requirements for the YES Waiver program. The form must be reviewed and authorized by the HHS YES waiver in accordance with YES waiver policy, and limits may apply. This form is an important tool for ensuring that eligible individuals receive the necessary services to support their well-being.