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-02672	CLTS Sole Proprietor Registration	02/2022	HTML	English	No
F-00963	Children’s Long Term Support Reconciliation Packet	02/2022	Excel	English	No
F-00963I	Children’s Long Term Support Reconciliation Packet, Instructions	02/2022	PDF	English	No
F-00926	Application for the Use of Protective Equipment or Mechanical Restraint - CLTS and CCOP	02/2022	PDF	English	No
F-00926	Application for the Use of Protective Equipment or Mechanical Restraint - CLTS and CCOP	02/2022	Word	English	No
P-02616	Instructions and Requirements for the Use of Protective Equipment and Mechanical Restraints in Children's Long-Term Support Programs	02/2022	PDF	English	No
P-02570S	Children’s Long-Term Support Program Supports and Services at a Glance, Spanish	02/2022	PDF	Spanish	No
P-02570H	Children’s Long-Term Support Program Supports and Services at a Glance, Hmong	02/2022	PDF	Hmong	No
P-02442	Children's Long-Term Support Waiver Provider Bulletin 2022-01	02/2022	PDF	English	No
P-02570	Children’s Long-Term Support Program Supports and Services at a Glance	02/2022	PDF	English	No
N/A	CLTS Waiver Renewal Special Topic Teleconference-Incident Reporting and Restrictive Measures	01/2022	PDF	English	No
F-02467	Children's Long-Term Support: Care Level Classification	01/2022	Word	English	No
P-02273	Care Level Classification Guidelines	01/2022	PDF	English	No
P-02874S	Children’s Long-Term Support Waiver Renewal-Summary of Changes, Spanish	12/2021	PDF	Spanish	No
P-02874H	Children’s Long-Term Support Waiver Renewal-Summary of Changes, Hmong	12/2021	PDF	Hmong	No
P-02466	2020 Program Access and Benchmark Project: For Children’s Long-Term Support (CLTS) Waiver, Katie Beckett Program, and Children’s Community Options Program (CCOP)	12/2021	PDF	English	No
P-02874	Children’s Long-Term Support Waiver Renewal-Summary of Changes	12/2021	PDF	English	No
N/A	CLTS Waiver Program 1915(b)(4) Application	12/2021	PDF	English	No
N/A	CLTS Waiver Program 1915(c) Renewal	12/2021	PDF	English	No
N/A	All in for Kids: CLTS #5, December 2021 (Spanish)	12/2021	PDF	Spanish	No
N/A	All in for Kids: CLTS #5, December 2021 (Hmong)	12/2021	PDF	Hmong	No
N/A	All in for Kids: CLTS #5, December 2021	12/2021	PDF	English	No
N/A	October 14, 2021, Children’s Long-Term Support (CLTS) Functional Screen Teleconference Slides	11/2021	PDF	English	No
N/A	November 4, 2021, Children’s Long-Term Support (CLTS) Functional Screen Teleconference Slides	11/2021	PDF	English	No
F-02818S	Notice of Action: Child Found Not Eligible for the Children's Long-Term Support Waiver Program, Spanish	09/2021	Word	Spanish	No

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