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-20987S | Authorized Representative Designation Medicaid Community Waiver Programs, Spanish | 03/2017 | Word | Spanish | No |
| F-21072 | Determination of Exceptional Care Needs for Children in Child Care or Foster Care Setting | 03/2017 | Word | English | No |
| F-00926A | Request for Use of Medical Restraints - CLTSS | 02/2017 | Word | English | No |
| F-00926A | Request for Use of Medical Restraints - CLTSS | 02/2017 | English | No | |
| F-00412 | Third Party Administration (TPA) Children's Medicaid Waivers Provider Billing and Service Information | 02/2017 | Word | English | No |
| N/A | Sample Level of Care Termination Letter | 09/2016 | Word | English | No |