From Muna Javaid <[email protected]>
Subject 36 groups call for updating YES Waiver reimbursement rates
Date July 10, 2026 3:45 PM
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To support youth mental health, Texas should update the rates.


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Dear John,

When Texas parents are looking for services for their children with complex mental health challenges, in many cases the YES Waiver is their best option for getting the support they need.

Unfortunately, as reimbursement rates for the YES Waiver stagnate, fewer youth have been able to access those services in recent years.

We're proud to be one of 36 Texas organizations that recently
sent a letter ([link removed])
to the Texas Health and Human Services Commission (HHSC) asking the agency to study Medicaid reimbursement rates for the YES Waiver and update the rates accordingly.

The YES Waiver has lost 397 providers since the end of 2019, partly due to financial challenges and low funding levels. Reimbursement rates have remained the same for more than a decade and are no longer competitive. Specialized therapy rates have not been updated since the program began in 2009. Family and community-based living support rates were last updated in 2013.

You can read more about the
YES Waiver here ([link removed]).

We look forward to working with you to ensure Texas parents can find the support they need for their children with complex mental health challenges!

Sincerely,

Muna Javaid
Senior Policy Associate for Child Protection


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