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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
F-00412 Third Party Administration (TPA) Children's Medicaid Waivers Provider Billing and Service Information 02/2017 Word English No
N/A Tomas' Story 04/2018 PDF English No
P-01724 Trauma-Informed Resilience Building 03/2019 PDF English No
N/A Typical and Atypical Child Development Module 1 Diagnostic Supplement 04/2018 PDF English No
N/A Typical and Atypical Child Development Module 1 Matrices 04/2018 PDF English No
N/A Typical and Atypical Child Development Module 2 Diagnostic Supplement 04/2018 PDF English No
N/A Typical and Atypical Child Development Module 2 Matrices 04/2018 PDF English No
N/A Typical and Atypical Child Development Module 3 Diagnostic Supplements 04/2018 PDF English No
N/A Typical and Atypical Child Development Module 3 Matrices 04/2018 PDF English No
N/A Typical and Atypical Child Development Module 4 Diagnostic Supplements 05/2018 PDF English No
N/A Typical and Atypical Child Development Module 4 Matrices 05/2018 PDF English No
N/A Typical and Atypical Child Development Modules: Citations and Credits 07/2020 PDF English No
F-21059 Variance Request for Institution Respite 03/2017 Word English No
F-21059 Variance Request for Institution Respite 03/2017 PDF English No
P-03010 Welcome to the Children's Long-Term Support Waiver Program 01/2023 PDF English No
P-03010H Welcome to the Children's Long-Term Support Waiver Program, Hmong 12/2022 PDF Hmong No
P-03010S Welcome to the Children's Long-Term Support Waiver Program, Spanish 12/2022 PDF Spanish No
F-02341A Wisconsin Children's Long-Term Support (CLTS) Waiver Provider Registration 06/2021 HTML English No
P-20217 Wisconsin Children's Long-Term Support Medicaid Waiver Program 04/2015 PDF English No
P-02497 Wisconsin Medicaid Scorecard on Serving Children with Disabilities and/or Delays 2016-2018 07/2020 PDF English No
P-03150 Worker Fraud in the Children's Long-Term Support (CLTS) Waiver Program 11/2023 PDF English No
F-01337 Worksheet for Determination of Parental Payment Limit for CLTS and CCOP Programs 02/2024 Excel English No
F-01337B Worksheet for Determination of Parental Payment Limit for CLTS and CCOP Programs, FAQs 09/2023 PDF English No
F-01337A Worksheet for Determination of Parental Payment Limit for CLTS and CCOP Programs, Instructions 09/2022 PDF English No
N/A WPS CLTS County Waiver Agency Authorization File Tips 06/2017 PDF English No

Glossary

 
Last revised January 25, 2023