24-Hour Crisis Hotline: (877)SAFEGBC or (877)723-3422 Mental Health & Substance Abuse Issues

6502 Nursery Drive, Suite 100
Victoria, TX 77904

YES Waiver



Youth Empowerment Services

(YES) Waiver

What is the YES Waiver?

The YES (Youth Empowerment Services) Waiver is a 1915(c) Medicaid Home and Community-Based Services Waiver that allows for more flexibility in the funding of intensive community-based services to assist children and adolescents with severe emotional disturbances to live in the community with their families. 

Waiver services are provided in combination with services available through the Medicaid State plan, other federal, state, and local programs the individual may qualify for, and the natural supports that families and communities provide.


 1.      Reducing out-of-home placements and inpatient psychiatric treatment by all child-serving agencies;

 2.      Providing a more complete continuum of community-based services and supports;

 3.      Ensuring families have access to parent partners and other flexible non-traditional support services as identified in a family-centered planning process;

 4.      Preventing entry into the foster care system and relinquishment of parental custody; and

 5.      Improving the clinical and functional outcomes of children and adolescents.


  • Adaptive Aids & Supports
  • Community Living Supports
  • Family Supports
  • Minor Home Modifications
  • Non-Medical Transportation
  • Paraprofessional Services
  • Professional Services
  • Respite
  • Supportive Family Based Alternatives
  • Transitional Services

All YES Waiver participants will also receive benefits to access all Medicaid State Plan Services that are medically necessary.

 Who is Eligible for YES Waiver Services?  The Local Mental Health Authority in your service area will assess you for eligibility.  See “Who Do I Contact About Receiving Services?”

 To participate in the YES Waiver, the child or adolescent must meet the following criteria.

  Demographic Criteria

 ·        Be between 3-18 years of age;

 ·        Reside in Victoria, Jackson, Lavaca, DeWitt, Goliad, Refugio, or Calhoun County;

 ·        Reside in a non-institutional setting with the child's or adolescent's Legally Authorized  
 Representative; or in the child's or adolescent’s own home or apartment, if legally

  Clinical Criteria

 Have serious functional impairment or acute severe psychiatric symptoms as indicated by:

 -       Risk of Self-Harm

 -       Disruptive or Aggressive Behavior

 -       Family Resources

 -       School Behavior

 -       Current Diagnosi

There is a reasonable expectation that, without YES Waiver services, the child or adolescent would qualify for inpatient care.

Financial Criteria

A child or adolescent must be eligible for Medicaid. 

 ·        If you are a current Medicaid recipient, you may already meet financial requirements for the YES Waiver or additional information may be required. 

 ·        If you are not a current Medicaid recipient, we can assist you in applying.


Who do I contact about receiving services? 

Services are accessed through the Local Mental Health Authority (LMHA). The LMHA for the Crossroads is Gulf Bend Center.

To obtain more information or to register, please call 361-575-0611 or 1-800-421-8825.

 How lonG will I have to Wait to see if I am eligible? 

 Will There Be a Wait List?

The amount of  time you may have to wait to see if you are eligible will depend on whether there is a YES Waiver spot currently available and the date you were registered on the Interest List.

When a spot is available, the Local Mental Health Authority will contact you by phone and in writing notifying you of an available spot and to schedule an appointment to begin the eligibility determination process.

You may continue to receive other services that you qualify for while on the YES Waiver Interest List.


Youth Empowerment Services (YES) Waiver Amendment Seven



Youth Empowerment Services (YES) Waiver Amendment Nine


Below is the link to the YES website where the amendments are posted: