Summary of Revisions to the Medicaid Home and Community-Based Services Waiver Manual for the Children’s Long-Term Support Waiver Program
The CLTS Program Participant and Family Handbook is here!
This easy-to-use handbook was created to help families better understand the CLTS Program, so they can better access available supports and services and navigate the program with confidence.
Get the Children’s Long-Term Support Program Participant and Family Handbook, P-03689.
The updates included in the most recent (April 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
- § 4.2.3.1: added reference to new § 4.7.4 which has a comprehensive list of serious crimes that are barring offenses for providers.
- § 4.4.5: added new subsection “HCBS Settings Requirements.”
- § 4.6.4.2: added Children’s Foster Care service requirements and operational guidance associated with HCBS settings requirements for level 5 exceptional treatment foster home agency providers.
- § 4.6.4.5: changes to clarify qualifications for level 5 exceptional treatment foster home agency providers of Children’s Foster Care services, including a new requirement for a written compliance determination from DHS within the last four years to evidence the foster home meets all requirements of the federal HCBS Settings Rule.
- § 4.6.9.5: clarification of qualifications for hippotherapist and equine-assisted therapist providers of CLTS Counseling and Therapeutic Services; removed specification that hippotherapists and equine-assisted therapists “may be licensed in accordance with Wis. Stat. ch. 440.”
- § 4.6.22.3: removed Participant and Family-Direction Broker Services limitation that the broker “…must be independent of any other waiver service provider.”
- § 4.6.26.5: changes to clarify qualifications for level 5 exceptional treatment foster home agency providers of Respite Care services, including a new requirement for a written compliance determination from DHS within the last four years to evidence the foster home meets all requirements of the federal HCBS Settings Rule.
- § 4.7.4: added new subsection “Barring Offenses for CLTS Caregivers.”
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
§ 8.2.2: added operational guidance and resources for entering end dates in the online Eligibility and Enrollment system to ensure timely notice of adverse action for eligibility termination.
Chapter 9–Health and Safety
No changes
Chapter 10–Transition
No changes
Appendix A
Updated