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-20985KA	Participant Rights and Responsibilities Notification, Karen	04/2025	PDF	Karen	No
F-20985V	Participant Rights and Responsibilities Notification, Vietnamese	04/2025	PDF	Vietnamese	No
N/A	All in for Kids: CLTS #1, April 2025, Hmong	04/2025	PDF	Hmong	No
N/A	All in for Kids: CLTS #1, April 2025, Spanish	04/2025	PDF	Spanish	No
N/A	All in for Kids: CLTS #1, April 2025	04/2025	PDF	English	No
N/A	March 19, 2025, CLTS Program TPA Transition Provider Webinar presentation	04/2025	PDF	English	No
F-21353	CLTS One Time High-Cost Notification	03/2025	Word	English	No
P-02719	CLTS Recruitment Poster: Direct Care Workers	03/2025	PDF	English	No
F-21353I	CLTS One Time High-Cost Notification Instructions and Typical Ranges	03/2025	PDF	English	No
P-03689	Children's Long-Term Support (CLTS) Program Participant and Family Handbook	03/2025	PDF	English	No
P-03689S	Children's Long-Term Support (CLTS) Program Participant and Family Handbook, Spanish	03/2025	PDF	Spanish	No
P-03689H	Children's Long-Term Support (CLTS) Program Participant and Family Handbook, Hmong	03/2025	PDF	Hmong	No
N/A	March 6, 2025, CLTS TPA Transition Forum	03/2025	PDF	English	No
N/A	CLTS Prior Authorization Response File Examples	03/2025	Excel	English	No
P-02617	Children's Incident Tracking and Reporting User Guide	03/2025	PDF	English	No
F-03344S	Children's Long-Term Support (CLTS) Waiver Program Provider Agreement and Acknowledgement of Terms of Participation, Spanish	02/2025	PDF	Spanish	No
F-03344	Children's Long-Term Support (CLTS) Waiver Program Provider Agreement and Acknowledgement of Terms of Participation	02/2025	PDF	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
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	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-02184	2025 CLTS Waiver Program Rate Schedule, Changes Shown	02/2025	PDF	English	No
N/A	CLTS PA Response File Layout	01/2025	Excel	English	No

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