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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 File Type Language Available to Order
P-02184 2021 CLTS Waiver Program Rate Schedule 07/2021 PDF English No
P-02184 2021 CLTS Waiver Program Rate Schedule, Changes Shown 07/2021 PDF English No
N/A CLTS Timely Filing Claim Processing Changes 06/2021 PDF English No
N/A All in for Kids: CLTS #3, May 2021 (Spanish) 05/2021 PDF Spanish No
N/A All in for Kids: CLTS #3, May 2021 (Hmong) 05/2021 PDF Hmong No
N/A All in for Kids: CLTS #3, May 2021 05/2021 PDF English No
N/A 1915(b)(4) Children’s Long-Term Support Waiver Fee-for-Service Selective Contracting Program 04/2021 PDF English No
N/A 1915(c) Children’s Long-Term Support Home and Community-Based Services Waiver Application 04/2021 PDF English No
F-21076SO Informed Consent – Children's Long-Term Support Functional Screen, Somali 03/2021 Word Somali No
F-21076RY Informed Consent – Children's Long-Term Support Functional Screen, Rohingya 03/2021 Word Rohingya No
F-21076V Informed Consent – Children's Long-Term Support Functional Screen, Vietnamese 03/2021 Word Vietnamese No
F-21076H Informed Consent - Children's Long-Term Support Functional Screen, Hmong 03/2021 Word Hmong No
F-21076S Informed Consent - Children's Long-Term Support Functional Screen, Spanish 03/2021 Word Spanish No
F-21076 Informed Consent – Children's Long-Term Support Functional Screen 03/2021 Word English No
F-21076KA Informed Consent – Children's Long-Term Support Functional Screen, Karen 03/2021 PDF Karen No
N/A Example CLTS F-00963 Packet 03/2021 PDF English No
N/A All in for Kids: CLTS #2, February 2021 02/2021 PDF English No
N/A All in for Kids: CLTS #2, February 2021 (Hmong) 02/2021 PDF Hmong No
N/A All in for Kids: CLTS #2, February 2021 (Spanish) 02/2021 PDF Spanish No
P-02442 Children's Long-Term Support Waiver Provider Bulletin 2021-01 01/2021 PDF English No
N/A All in for Kids: CLTS #1, January 2021 01/2021 PDF English No
N/A All in for Kids: CLTS #1, January 2021 (Spanish) 01/2021 PDF Spanish No
N/A All in for Kids: CLTS #1, January 2021 (Hmong) 01/2021 PDF Hmong No
P-02865 State-Level CLTS Budget and Enrollment Administration Operational Aid for County Waiver Agencies: Fiscal Responsibilities 12/2020 PDF English No
N/A State-Level Budget and Enrollment Administration Initiative Special Circumstances and Fiscal Responsibilities Training 11/2020 PDF English No

Glossary

 
Last revised January 25, 2023