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
P-02184Q	CLTS Rates_Transportation	02/2022	Excel	English	No
P-02184-A-QH	CLTS Rates_Discovery and Career Planning	02/2022	Excel	English	No
P-02184O	CLTS Rates_Respite	02/2022	Excel	English	No
P-02184D	CLTS Rates_Community-Competitive Integrated Employment	02/2022	Excel	English	No
P-02184J	CLTS Rates_Grief and Bereavement Counseling	02/2022	Excel	English	No
P-02184-A-QG	CLTS Rates_Day Services	02/2022	Excel	English	No
P-02184E	CLTS Rates_Counseling and Therapeutic Services	02/2022	Excel	English	No
P-02184C	CLTS Rates_Community Integration Services	02/2022	Excel	English	No
P-02184A	CLTS Rates_Adult Family Home Placement	02/2022	Excel	English	No
P-02184F	CLTS Rates_Daily Living Skills Training	02/2022	Excel	English	No
P-02184B	CLTS Rates_Child Care	02/2022	Excel	English	No
P-02184P	CLTS Rates_Safety Planning and Prevention	02/2022	Excel	English	No
P-02991S	Children's Services Programs: Cross Comparison, Spanish	02/2022	PDF	Spanish	No
P-02991H	Children's Services Programs: Cross Comparison, Hmong	02/2022	PDF	Hmong	No
P-02991	Children's Services Programs: Cross Comparison	02/2022	PDF	English	Yes
P-02613	Children’s Incident Reporting for Providers	02/2022	PDF	English	No
F-02534	CLTS Fiscal Agent and Fiscal Intermediary Registration	02/2022	HTML	English	No
F-02672	CLTS Sole Proprietor Registration	02/2022	HTML	English	No
F-00963I	Children’s Long Term Support Reconciliation Packet, Instructions	02/2022	PDF	English	No
F-00963	Children’s Long Term Support Reconciliation Packet	02/2022	Excel	English	No
F-00926	Application for the Use of Protective Equipment or Mechanical Restraint - CLTS and CCOP	02/2022	PDF	English	No
F-00926	Application for the Use of Protective Equipment or Mechanical Restraint - CLTS and CCOP	02/2022	Word	English	No
P-02616	Instructions and Requirements for the Use of Protective Equipment and Mechanical Restraints in Children's Long-Term Support Programs	02/2022	PDF	English	No
P-02570S	Children’s Long-Term Support Program Supports and Services at a Glance, Spanish	02/2022	PDF	Spanish	No
P-02570	Children’s Long-Term Support Program Supports and Services at a Glance	02/2022	PDF	English	No

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