Summary of Revisions to the Medicaid Home and Community-Based Services Waiver Manual for the Children’s Long-Term Support Waiver Program
The updates included in the most recent (February 2025) version of the Medicaid Home and Community-Based Services (HCBS) Waiver Manual for the CLTS Waiver Program, P-02256 (PDF), are summarized below.
Chapter 1–Overview and Administration
No changes
Chapter 2–Eligibility
No changes
Chapter 3–Financial Eligibility
No changes
Chapter 4–Provider Requirements and Allowable Services
- §§ 4.1-4.2.2: replaced references to a “registration system” for providers with “enrollment system,” and uses of “register” with “enroll.”
- §§ 4.1, 4.1.1, 4.2, 4.2.1-4.2.3, 4.2.3.1-4.2.3.2, 4.6: changed to reflect that DHS holds sole responsibility for deeming providers willing and qualified, and CWA responsibilities associated with authorizing providers to deliver CLTS Waiver Program services. Removed references to “initially,” “fully,” and “jointly” qualifying providers.
- §§ 4.1, 4.7.1: replaced CLTS Waiver Program Medicaid waiver provider agreement and acknowledgement of terms of participation for fiscal agents managing self-directed waiver supports (F-02365) and service provider agencies (F-02363) with the CLTS Waiver Program Medicaid Waiver Provider Agreement and Acknowledgement of Terms of Participation (F-03344).
- § 4.2.2: added “CWAs are prohibited from requiring signed agreements or contracts with providers for CLTS Waiver Program services or as a pre-condition for CLTS Waiver Program service authorization.”
- §§ 4.2.3-4.2.3.2: changes to reflect that DHS, and not a CWA, is responsible to ensure a Wisconsin caregiver background check is completed for all persons meeting the definition of a caregiver.
- §4.5: clarification that service authorization is required before a provider may render services.
- § 4.6: replaced references to “CWA” as the entity responsible for approving a provider’s qualifications with “DHS.”
Chapter 5–Use of Funding in Substitute Care
No changes
Chapter 6–Enrollment and Recertification
No changes
Chapter 7–Individual Service Plan
No changes
Chapter 8–Participant Rights and Appeal and Grievance Processes
No changes
Chapter 9–Health and Safety
§ 9.3.3: clarification of contracted entities by changing “Any provider that violates these requirements has breached their contract with the CWA and is subject to disallowance…” to “Any provider that violates these requirements has breached their contract with DHS and is subject to disallowance…”
Chapter 10–Transition
No changes
Appendix A
Updated