Children's Long-Term Support (CLTS) Waiver Forms and Publications - Resources for Counties

Below is a list of all Children's Long-Term Support (CLTS) Waiver forms and publications. If the document is available to order in a paper version, there will be a "Yes" with a link to ordering instructions.

When you are searching for a document, enter the number or a portion of the title in the search box below.

Assigned Number	Title	Release Date Sort ascending	File Type	Language	Available to Order
F-20445B	Home and Community-Based Services (HCBS) Settings Rule Modification Questionnaire – Children’s Long-Term Support (CLTS) Waiver Program	02/2025	Word	English	No
N/A	Home and Community=Based Services (HCBS) Settings Rule Benchmarks: Level 5 Foster Homes	02/2025	PDF	English	No
F-02538A	CLTS Provider Cost-Based Outlier	02/2025	Excel	English	No
P-03535	2025 Children’s Long-Term Support (CLTS) Program Quality Guide	02/2025	PDF	English	No
P-02256	Medicaid Home and Community-Based Services Waiver Manual for the CLTS Waiver Program	02/2025	PDF	English	No
N/A	February 13, 2025, Children's Long-Term Support Functional Screen Teleconference presentation	02/2025	PDF	English	No
P-02184	2025 CLTS Waiver Program Rate Schedule	02/2025	PDF	English	No
P-02283	2025 CLTS Program Benefit Code Crosswalk	02/2025	PDF	English	No
P-02184	2025 CLTS Waiver Program Rate Schedule, Changes Shown	02/2025	PDF	English	No
P-02283	2025 CLTS Program Benefit Code Crosswalk	02/2025	PDF	English	No
N/A	CLTS PA Response File Layout	01/2025	Excel	English	No
F-03344	Children's Long-Term Support (CLTS) Waiver Program Provider Agreement and Acknowledgement of Terms of Participation	01/2025	PDF	English	No
N/A	February 5, 2025, Children's Long-Term Support (CLTS) Council Agenda	01/2025	PDF	English	No
N/A	All in for Kids: CLTS #4, January 2025	01/2025	PDF	English	No
N/A	All in for Kids: CLTS #4, January 2025, Spanish	01/2025	PDF	Spanish	No
N/A	All in for Kids: CLTS #4, January 2025, Hmong	01/2025	PDF	Hmong	No
N/A	December 17, 2024, CLTS Program Third-Party Administrator Transition Provider Webinar	12/2024	PDF	English	No
N/A	December 17, 2024, CLTS Program Third-Party Administrator Transition	12/2024	PDF	English	No
P-03037	Contacts for the Children's Long-Term Support Program	12/2024	PDF	English	No
P-02617	Children's Incident Tracking and Reporting User Guide	12/2024	PDF	English	No
P-03037S	Contacts for the Children's Long-Term Support Program, Spanish	12/2024	PDF	Spanish	No
P-03037H	Contacts for the Children's Long-Term Support Program, Hmong	12/2024	PDF	Hmong	No
P-03312A	New Provider Users: Submit a New Registration	12/2024	PDF	English	No
P-03312	New Provider Users: Create an Account	12/2024	PDF	English	No
N/A	Overview of Portal Navigation and Claims Submission Options	12/2024	PDF	English	No

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