CK YES Waiver Services

The YES (Youth Empowerment Services) Waiver Program, provides comprehensive home and community-based mental health services to youth ages 3 through 19, who have a serious emotional disturbance. The YES Waiver not only provides flexible supports and specialized services to children and youth at risk of institutionalization and/or out-of-home placement due to their serious emotional disturbance, but also strives to provide hope to families by offering services aimed at keeping children and youth in their homes and communities.

Watch the video below to hear Daniel Lund, CK Family Services Director of Administration talking about CK YES Waiver.


To participate in the YES Waiver, a child must:

  • Have a serious emotional disturbance (SED);
  • Meet the criteria to be in a psychiatric hospital;
  • Be eligible for Medicaid (parent’s income does not apply)
  • Be between the ages of 3–18 years; and
  • Live in a home setting with a legal guardian, or on their own if legally emancipated.

Goals of the YES Waiver

  • Reduce the amount of time the child is out of their home and community because of a mental health need
  • Extend the range of mental health services and supports available for children with this level of need
  • Prevent entry into the foster care system and relinquishment of parental custody, and
  • Improve the lives of children and youth served

What We Do


Planned or emergency temporary care provided to a child to offer relief to families and caretakers from caring for a child. Respite is available as a service on a short-term basis.

It may be provided in:

  • Participant’s home or place of residence
  • Private residence of a respite care provider (if that provider is a relative of the participant other than the waiver participant, spouse, legal guardian, or legally authorized representative)
  • Foster home
  • Day or overnight camps
  • Child care centers or homes

Note: Respite services cannot be provided at the same time as supportive family-based alternatives, community living supports, and supported employment. Respite to be provided on a 1:1 basis.

Community Living Supports (CLS)

Are used to increase self-sufficiency, independence, community inclusion and participation by providing services with-in the participant’s home or community that focus on activities of daily living, socialization, and general life skills as determined by the child and family team. CLS may promote communication, relationship building skills, and engagement in community activities, often reinforcing skills or lesson taught in school, therapy, or other settings.

Community living supports help facilitate the participant reaching their goal of remaining in their home and being included in their communities. Supports may be provided in the participant’s residence or community settings (including libraries, city pools, camps, etc.).

Note: CLS cannot be provided at the same time as employment assistance; non-medical transportation; respite services; supported employment; or supportive family-based alternatives. CLS are permitted to be present and to bill for time providing service as part of the Child and Family Team meeting. CLS may be provided in a group setting.

Specialized Therapies

Specialized therapies include art, recreational, music, and animal assisted therapy, and nutritional counseling.

Services include:

  • Art Therapy

Use of art media, the creative process, and the resulting artwork to explore participant’s feelings, reconcile emotional conflicts, foster self-awareness, manage behavior, develop social skills, improve reality orientation, reduce anxiety, and increase self-esteem.

  • Music Therapy

Use of music to therapeutically address physical, psychological, cognitive, or social functioning to optimize the individual’s quality of life, improve functioning on all levels, enhance well-being and foster independence.

  • Animal-assisted Therapy

Animals are utilized in goal-directed treatment sessions, as a modality, to facilitate optimal physical, cognitive, social and emotional outcomes, such as increasing self-esteem and motivation.

  • Recreational Therapy

Activities as a treatment intervention to improve life. Designed to restore, remediate, or habilitate improvement in functioning and independence while reducing or eliminating the effects of an illness or a disability.

  • Nutritional Counseling

Counseling in nutrition principles, dietary plans, and food selection and economics.

Note: Specialized therapies may be provided in a group setting. Specialized therapies are permitted to be present and to bill for time providing service as part of the Child and Family Team meeting.

Family Supports

Family Supports (FS) includes peer mentoring and support to the primary caregivers; engages family in the treatment process; models self-advocacy skills; provides information, referral and non-clinical skills training; maintains engagement; and assists in the identification of natural/non-traditional and community support systems.

Note: Family supports are peer-to-peer mentoring services and are not clinical skills training.  FS are permitted to be present and to bill for time providing service as part of the Child and Family Team meeting. FS may be provided in a group setting.

Employee Assistance

Employment assistance helps the participant locate paid employment at or above minimum wage in an integrated employment setting in the community and meet the participant’s personal and career goals. This service aims to identify the participant’s employment preferences, job skills, and requirements for work settings and assists the participant in locating prospective employers offering employment compatible with the participant’s identified preferences and needs.

Note: Employment assistance cannot be provided at the same time as community living supports; non-medical transportation; paraprofessional services; respite; or supported employment. Transporting the participant to help him or her locate paid employment in the community is a billable activity within this service.

Supported Employment

Supported employment services assist people in choosing, getting and keeping employment. This service is provided, in order to achieve and maintain competitive employment, to an individual who, because of a disability, requires intensive, ongoing support to be self-employed, work from home, or preform in a work setting at which individuals without disabilities are employed. Supported employment includes employment adaptations, supervision, and training related to an individual’s assessed needs. Individuals receiving supported employment earn at least minimum wage (if not self-employed).

Note: This service cannot be provided at the same time as community living supports; employment assistance; non-medical transportation; paraprofessional services; or respite.

Adaptive Aids & Supports

Adaptive Aids & Supports (AA&S) are devices and supports that are identified by the Child and Family Team to address participant’s needs and community functioning as a result of their Serious Emotional Disturbance (SED), and are directly related to the mission and goals as outlined in the Individual Plan of Care (IPC). There are five types of AA&S: Consumable goods; durable goods; lessons, classes, and seasonal activities; memberships; and camps.

Minor Home Modifications

Minor Home Modifications (MHM) services contribute to the community functioning and help participants to avoid institutionalization. MHMs must be age appropriate and related to needs as determined by the Child and Family Team through the Individual Plan of Care (IPC). MHM services include home accessibility/safety adaptations, physical adaptations to residence, such as alarm systems, alert systems, etc.

Non-Medical Transportation

Non-Medical Transportation (NMT) is transportation that assists participants to gain access to waiver and other community services, activities and resources, as specified by the Individual Plan of Care (IPC).

Note: This service is in addition to, and not instead of, medical transportation and transportation services under the State Plan.

Paraprofessional Services

Paraprofessional Services (PPS) is a behavioral aide that supports the participant to meet goals. PPS is provided under the direction of a licensed behavioral health professional.

Services include:

  • Mentoring and Coaching

Skilled mentoring would be provided by an individual who has had additional training/experience working with children/adolescents with mental health problems. For example, a teenager with severe behavior problems may require mentoring from a person with behavioral management expertise.

  • Paraprofessional Aide

Aide assists the waiver participant in preventing and managing behaviors stemming from SED that create barriers to inclusion in integrated community activities such as after-school care or day care.

  • Job Placement

Help finding employment, e.g. developing a resume and completing applications.

Note: PPS cannot be provided at the same time as community living supports; non-medical transportation; employment assistance; respite; or supported employment.

Supportive Family-Based Alternatives

With Supportive Family Based Alternatives (SFBA), the child or youth temporarily resides within the home of a professional support family, while therapeutic support and model behaviors are provided for the participant’s family. The goal is to help the child or youth return to their family in the community (e.g. temporarily reside within in a home other than the home of their family). A Child-Placing Agency will recruit, train and certify the support family and coordinate with the participant’s family. Support families must provide services as identified on the IPC.


Services include:

  • Guidance/assistance with the daily life activities (e.g. bathing, money management etc.)
  • Securing/providing transportation
  • Reinforcement of counseling, therapy, and related activities
  • Help with medications
  • Supervise participant for safety and security
  • Facilitating inclusion in community activities, social interaction etc.
  • Assistance in accessing community and school resources

Transition Assistance

Transitional Services (TS) are a one-time, non-recurring allowable expense. TS may be provided when a participant transitions from an institution, provider-operated setting, or family home to their own private community residence.

Assistance may include:

  • Utility and security deposits for the home/apartment
  • Household items such as linens and cooking utensils
  • Essential furnishings
  • Moving expenses
  • Services to ensure health and safety in the apartment/home (e.g., pest eradication, allergen control, one-time cleaning)

Our Service Area

CK YES Waiver Program Service Area Map

We currently provide CK YES services in the following Texas Counties:

Collin, Dallas, Denton, Ellis, Erath, Hood, Hunt, Johnson, Kaufman, Navarro, Palo Pinto, Parker, Rockwall, Somervell, and Tarrant Counties.

Choose CK as your Comprehensive Service Provider (CWP)

One of the most important decisions you will make after being approved to participate in the YES Waiver is your choice of Comprehensive Waiver Provider (CWP). The Local Mental Health Authority (LMHA) staff who assist you with your application to YES Waiver will present you with a list of CWP who serve in your County.  We ask that you choose CK Family Services as your CWP. Please Note:  some LMHA may have us listed as Covenant Kids or CK Behavioral Health.

As your Comprehensive Waiver Provider, CK YES is responsible for making all of the necessary arrangements to get you started and to maintain the services you choose from the list above, as indicated on the service plan you develop at the LMHA.  CK YES employs and subcontracts with qualified, certified, and licensed professionals to ensure that our service delivery is superb.

Please email your questions to, tap the button below or give us a call at 817-516-9100.


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