TX HHS Form 2807. Pending Enrollment of Youth Empowerment Services (YES) Waiver Services

The TX HHS Form 2807, "Pending Enrollment of Youth Empowerment Services (YES) Waiver Services", is used to facilitate the enrollment process for youth who meet eligibility requirements but do not yet have qualifying Medicaid coverage. This form helps solve the problem of pending enrollment in YES Waiver services, ensuring that necessary support and resources are provided to eligible individuals.

This form requires the following information: name of individual, name of legally authorized representative, address, and date. The "Re:" section provides a summary of the purpose and outcome of the form, stating that the Texas Health and Human Services Commission has determined eligibility for YES Waiver services. Key sections include the notification of pending enrollment and the role of the Local Mental Health Authority in applying for Medicaid coverage.

The TX HHS Form 2807 should be used when a youth meets all eligibility requirements but does not yet have qualifying Medicaid coverage, necessitating "pending" enrollment in YES Waiver services. This form is specifically designed to guide the process of applying for Medicaid and completing YES Waiver enrollment once coverage begins.