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-02818I	Notice of Action: Child Found Not Eligible for the Children's Long-Term Support Waiver Program, Instructions	09/2023	PDF	English	No
F-01337B	Worksheet for Determination of Parental Payment Limit for CLTS and CCOP Programs, FAQs	09/2023	PDF	English	No
N/A	All in for Kids: CLTS #2, June 2023, Spanish	08/2023	PDF	Spanish	No
N/A	All in for Kids: CLTS #2, June 2023	08/2023	PDF	English	No
N/A	All in for Kids: CLTS #2, June 2023, Hmong	08/2023	PDF	Hmong	No
P-03470	Creating a Document of Age-Dependent ADL and IADL Questions (FSIA)	06/2023	PDF	English	No
F-02319	Home and Community-Based Waiver Medicaid Enrollment for the Children's Long-Term Support Waiver Program	06/2023	PDF	English	No
P-00700	Approved CLTS Treatment Foster Care Administrative Rates	05/2023	PDF	English	No
P-02283	2023 CLTS Program Benefit Code Crosswalk	05/2023	PDF	English	No
N/A	Children’s Long Term Support Functional Screen April 2023 Teleconference slides	05/2023	PDF	English	No
N/A	National Core Indicators Child Family Survey Letter Spanish	05/2023	PDF	Spanish	No
N/A	National Core Indicators Child Family Survey Letter	05/2023	PDF	English	No
P-02442	Children's Long-Term Support Waiver Provider Bulletin 2023-01	04/2023	PDF	English	No
N/A	All in for Kids: CLTS #1, March 2023	03/2023	PDF	English	No
N/A	All in for Kids: CLTS #1, March 2023, Spanish	03/2023	PDF	Spanish	No
N/A	All in for Kids: CLTS #1, March 2023, Hmong	03/2023	PDF	Hmong	No
N/A	American Rescue Plan Act: Medicaid HCBS Grants Opportunity Presentation - Spanish	02/2023	PDF	Spanish	No
N/A	American Rescue Plan Act: Medicaid HCBS Grants Opportunity Presentation - Hmong	02/2023	PDF	Hmong	No
N/A	February 2023 CLTS Functional Screen Teleconference slides	02/2023	PDF	English	No
F-02749I	CLTS Exceptional Expense Notification, Instructions	02/2023	Word	English	No
N/A	American Rescue Plan Act: Medicaid HCBS Grants Opportunity Presentation	02/2023	PDF	English	No
F-02749	CLTS Exceptional Expense Notification	02/2023	Word	English	No
F-01338	Children's Long-Term Support Parental Fee Declaration – Model	02/2023	Word	English	No
F-01338S	Children's Long-Term Support Parental Fee Declaration, Spanish – Model	02/2023	Word	Spanish	No
F-01338H	Children's Long-Term Support Parental Fee Declaration, Hmong – Model	02/2023	Word	Hmong	No

Glossary