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 for organizations providing wraparound services to youth. This form helps solve the problem of requesting adaptive aids and supports to supplement existing services and prevent out-of-home placement.

This form requires key information, including participant details, requested AA&S descriptions, medical necessity explanations, and wraparound plan integration. Important sections include Part I: Participant Information, which collects essential demographic data, and Part II: Requested Service, where the requesting organization provides detailed descriptions of the adaptive aids and supports needed. The form also includes a section for Wraparound Plan integration, ensuring that the requested AA&S aligns with existing services.

The TX HHS Form 2812 should be used when a wraparound provider organization needs to request adaptive aids and supports for a youth participant. This form is particularly relevant in scenarios where out-of-home placement prevention or reduction is a priority. The form's practical application lies in its ability to facilitate the provision of necessary services, ensuring that youth receive the support they need to thrive in their communities.