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 (October 2023) 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
§ 4.5.4: Updated guidance about submitting the outlier rate request via the ForwardHealth Portal instead of via email.
§ 4.6.3:
- Updated resource for calculating basic cost of child care, to current version of Department of Children and Families market rate survey.
- Clarified method to calculate basic cost of child care when care is not provided in a community child care setting and the provider does not have a basic cost of child care.
- Use the market rate survey to identify the Wisconsin Child Care Subsidy Program Subsidy Rate Zone the participant resides in.
- Use rate listed in new table in manual. (Rate is based on zone and age of participant.)
- Corrected the definition of the basic cost of child care in exclusion, to say that the basic cost is the rate charged by and paid to a child care “provider,” instead of child care “center.”
Chapter 5–Use of Funding in Substitute Care
No changes
Chapter 6–Enrollment and Recertification
§ 6.1.1.3 and § 6.1.4: Changed timeframe to enroll enrollable participants, from 30 calendar days to 45 calendar days:
- Timeframe also updated on P-02049.
- Provides additional time to mitigate circumstances beyond the control of the county waiver agency and reduces complexity by matching the timeframe to complete initial eligibility determination.
§ 6.1.3: Updated contact information for BCS Children and Family Program Specialists:
- Updated to “DHS BCS Technical Assistance Center” and “(DHSBCSTAC@dhs.wisconsin.gov)”
- Removed hyperlinks to children and family program specialist (CFPS) regional map (P-00996)
Chapter 7–Individual Service Plan
§ 7.4: Updated contact information for BCS Children and Family Program Specialists:
- Updated to “DHS BCS Technical Assistance Center” and “(DHSBCSTAC@dhs.wisconsin.gov)”
- Removed hyperlinks to children and family program specialist (CFPS) regional map (P-00996)
Chapter 8–Participant Rights and Appeal and Grievance Processes
No changes
Chapter 9–Health and Safety
No changes
Chapter 10–Transition
No changes
Appendix A
Updated