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
N/A November 9, 2023, Children’s Long-Term Support Functional Screen Teleconference 11/2023 PDF English
P-03150 Worker Fraud in the Children's Long-Term Support (CLTS) Waiver Program 11/2023 PDF English
P-02996 Medicaid and Children's Services Program Benefits Overview 10/2023 PDF English
P-02996S Medicaid and Children's Services Program Benefits Overview, Spanish 10/2023 PDF Spanish
P-02996H Medicaid and Children's Services Program Benefits Overview, Hmong 10/2023 PDF Hmong
P-02495 Outlier Request Process 10/2023 PDF English
N/A August 2023 CLTS Functional Screen Teleconference Slides 10/2023 PDF English
P-02274 Outlier Rate Request 10/2023 PDF English
P-02049 Support and Service Coordination Requirements Eligibility and Enrollment Diagram 10/2023 PDF English
P-02184-2023-10 2023 CLTS Waiver Program Rate Schedule 10/2023 PDF English
P-02184-2023-10-edits 2023 CLTS Waiver Program Rate Schedule, Changes Shown 10/2023 PDF English
N/A All in for Kids: CLTS #3, September 2023 09/2023 PDF English
N/A All in for Kids: CLTS #3, September 2023, Spanish 09/2023 PDF Spanish
N/A All in for Kids: CLTS #3, September 2023, Hmong 09/2023 PDF Hmong
P-02282 Individual Service Plan (ISP) Outcomes: Information for Parents 09/2023 PDF English
P-02282S Individual Service Plan (ISP) Outcomes: Information for Parents, Spanish 09/2023 PDF Spanish
P-02282H Individual Service Plan (ISP) Outcomes: Information for Parents, Hmong 09/2023 PDF Hmong
F-01337B Worksheet for Determination of Parental Payment Limit for CLTS and CCOP Programs, FAQs 09/2023 PDF English
F-02818I Notice of Action: Child Found Not Eligible for the Children's Long-Term Support Waiver Program, Instructions 09/2023 PDF English
N/A All in for Kids: CLTS #2, June 2023 08/2023 PDF English
N/A All in for Kids: CLTS #2, June 2023, Spanish 08/2023 PDF Spanish
N/A All in for Kids: CLTS #2, June 2023, Hmong 08/2023 PDF Hmong
P-03470 Creating a Document of Age-Dependent ADL and IADL Questions (FSIA) 06/2023 PDF English
F-02319H Home and Community-Based Waiver Medicaid Enrollment for the Children's Long-Term Support Waiver Program, Hmong 06/2023 PDF Hmong
F-02319 Home and Community-Based Waiver Medicaid Enrollment for the Children's Long-Term Support Waiver Program 06/2023 PDF English

Glossary

 
Last revised September 23, 2025