TX HHS Form 2812. Youth Empowerment Services (YES) Waiver Adaptive Aids & Supports (AA&S) Request

The TX HHS Form 2812, Youth Empowerment Services (YES) Waiver Adaptive Aids & Supports (AA&S) Request, is a crucial document that helps solve the problem of ensuring youth in need receive necessary support services to prevent out-of-home placement. This form is typically used by Wraparound Providers and Facilitators to request adaptive aids and supports for participants in the YES Comprehensive Waiver program.

The form requires specific information, including participant details, requested AA&S descriptions, and medical necessity explanations. It also asks about the brainstorming process used to arrive at the requested AA&S and whether strategies and tasks are assigned to each team member on the Wraparound Plan. Additionally, for requests over $500, the provider must obtain three bids and outline the services or items with corresponding costs.

The key features of this form include the required participant information, description of adaptive aids and supports, and medical necessity explanations. The form also highlights the importance of brainstorming and assigning tasks to team members on the Wraparound Plan. By using this form, Wraparound Providers can ensure that youth receive necessary support services to prevent out-of-home placement.

• The TX HHS Form 2812 is used by Wraparound Providers and Facilitators to request adaptive aids and supports for participants in the YES Comprehensive Waiver program.
• The form requires specific information, including participant details, requested AA&S descriptions, and medical necessity explanations.