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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-20987S Authorized Representative Designation Medicaid Community Waiver Programs, Spanish 03/2017 Word Spanish No
N/A Brandon's Story 05/2018 PDF English No
N/A Brief Overview of Developmental Domains in Early Childhood 04/2018 PDF English No
N/A Bureau of Children’s Services Teleconference: SAS Training 02/2024 PDF English No
P-02273 Care Level Classification Guidelines 01/2022 PDF English No
N/A Caroline's Story 04/2018 PDF English No
N/A Cassie's Story 04/2018 PDF English No
N/A CCOP and CLTS Reconciliation Processes slides 03/2024 PDF English No
N/A Charlotte's Story 04/2018 PDF English No
N/A Child Development Introduction 04/2018 PDF English No
P-01780 Children's Community Options Program Procedures (CCOP) Guide 05/2024 PDF English No
P-02649 Children's Incident Tracking and Reporting System 04/2020 PDF English No
P-02617 Children's Incident Tracking and Reporting User Guide 06/2024 PDF English No
F-02587 Children's Long-Term Support (CLTS) Waiver Program Deciding Together Implementation Planning Tool 12/2019 Word English No
F-02349 Children's Long-Term Support (CLTS) Waiver Program Provider Agreement and Acknowledgement of Terms of Participation for County Waiver Agencies 12/2023 HTML English No
F-01338 Children's Long-Term Support Parental Fee Declaration – Model 02/2023 Word English No
F-01338H Children's Long-Term Support Parental Fee Declaration, Hmong – Model 02/2023 Word Hmong No
F-01338S Children's Long-Term Support Parental Fee Declaration, Spanish – Model 02/2023 Word Spanish No
P-01991 Children's Long-Term Support Waiver Program Eligibility and Enrollment User Guide 05/2024 PDF English No
F-02365 Children's Long-Term Support Waiver Program Provider Agreement and Acknowledgement of Terms of Participation for Fiscal Agents Managing Self-Directed Waiver Supports 12/2023 HTML English No
F-02363 Children's Long-Term Support Waiver Program Provider Agreement and Acknowledgement of Terms of Participation for Service Provider Agencies 12/2023 HTML English No
F-02364 Children's Long-Term Support Waiver Program Provider Agreement and Acknowledgement of Terms of Participation for Sole Proprietor or Individual Waiver Service Providers 11/2023 HTML English No
P-02442 Children's Long-Term Support Waiver Provider Bulletin 2019-01 07/2019 PDF English No
P-02442 Children's Long-Term Support Waiver Provider Bulletin 2019-02 11/2019 PDF English No
P-02442 Children's Long-Term Support Waiver Provider Bulletin 2019-03 12/2019 PDF English No

Glossary

 
Last revised January 25, 2023