Youth Empowerment Services (Yes) Program Children

01. Payments for Children Under Eighteen (18) Years Old with SED. Under Section 56-254(2), Idaho Code, the Department will make payments for medical assistance for a child under eighteen (18) years old with serious emotional disturbance (SED), as defined in Section 16-2403, Idaho Code, and verified by an independent assessment: (7-1-24) a. Whose family income does not exceed three hundred percent (300%) of the FPG as determined using MAGI-based eligibility standards; or (7-1-24) b. Who meets other Title XIX Medicaid eligibility standards under the rules of the Department. (7-1-24) 02. Youth Empowerment Services (YES) Benefits. Applicants whose family income is equal to or less than three hundred percent (300%) of the FPG for children zero (0) to eighteen (18) years old and who meet the non-financial eligibility criteria in Sections 200 through 299 of these rules may receive the following benefits: (7-1-24) a. YES State Plan option services and supports under IDAPA 16.03.26, “Medicaid Plan Benefits,” Sections 640 through 649; and (7-1-24) b. Additional covered services under IDAPA 16.03.26, “Medicaid Plan Benefits.” (7-1-24) 03. Additional Eligibility Criteria and Program Requirements for YES. Additional eligibility criteria and program requirements applicable to the YES State Plan option are under IDAPA 16.03.26, “Medicaid Plan Benefits.” (7-1-24) 541. -- 544. (RESERVED)