Children’s Long-Term Support: Service Rates
CLTS Claims are now being processed through the ForwardHealth Portal
For more information please contact the CLTS Operations Team at 844-942-5870 or cltsoperations@gainwelltechnologies.com Monday through Friday 8 a.m.-4:30 p.m.
Questions on how to submit prior authorizations or claims?
Contact the CLTS Operations Team
844-942-5870
cltsoperations@gainwelltechnologies.com
Monday through Friday: 8 a.m.–4:30 p.m.
Children’s Long-Term Support (CLTS) program rates
- CLTS Waiver Program Rate Schedule, P-02184
- CLTS Code Crosswalk, P-02283
- Care Level Classification Guidelines, P-02273 (PDF)
- Care Level Classification Form, F-02467 (Word)
- CLTS Rate Setting Outlier Request Guide
- CLTS Program Outlier Rate Request Instructions, P-02274 (PDF)
- CLTS Treatment Foster Care Administrative Rates, P-00700 (PDF)
About rate setting
The Children’s Long-Term Support (CLTS) Program pays authorized claims under two approaches, the CLTS Statewide Rate Schedule and Market Rate.
Services included in the CLTS Statewide Rate Schedule
- Adult family home
- Case management
- Child care
- Community/competitive integrated employment
- Community integration services
- Counseling and therapeutic services*
- Daily living skills training*
- Day services
- Discovery and career planning*
- Financial management services
- Grief and bereavement counseling
- Health and wellness*
- Mentoring
- Personal supports*
- Respite*
- Safety planning and prevention
- Participant and family-directed broker services
- Transportation*
Exempt services
These services are paid at market rate.
- Assistive technology
- Children's foster care
- Communication assistance for community inclusion
- Empowerment and self-determination supports
- Family/unpaid caregiver supports and services
- Home modifications
- Housing support services
- Participant and family-directed goods and services
- Personal emergency response systems
- Relocation services
- Specialized medical and therapeutic supplies
- Vehicle modifications
- Virtual equipment and supports
*Some parts of these services are included in rate setting, but some parts are not.
Need help?
CLTS Provider Relations
dhscltsproviderrelations@dhs.wisconsin.gov
- Questions about the CLTS Waiver Program Benefit Code Crosswalk
- Questions about the CLTS Waiver Program Rate Schedule
CLTS Operations Team
844-942-5870
cltsoperations@gainwelltechnologies.com
- Submitting prior authorizations in the ForwardHealth Portal
- Questions about claims and payment