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Materials Specific to Autism Related Services Through
the Waivers
Materials Related to All Services Through the Waivers
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Citizenship Verification
Memo (PDF, 16 KB)
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Critical Incident
Reporting Overview (PDF, 24 KB)
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Critical Incident Report
(Form F-22541)
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CLTS Local Match Eligibility Chart
(PDF, 16 KB)
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Parental Payment Limits (formerly
"Parental Fee")
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CLTS School Policy (PDF,
19 KB)
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CLTS State Match Eligibility Chart
(PDF, 18 KB)
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CLTS Waiver Termination Policy
(PDF, 93 KB)
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CLTS Waiver Translation Policy
(PDF, 13 KB)
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Policy for Transferring a Child from the CIP Waiver to
the CLTS Waiver (PDF, 12 KB)
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Missed Services Policy
(PDF, 16 KB)
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Determination of Exceptional Care Needs for Children
in Child Care or Foster Care Setting (Form F-21072) (PDF,
22 KB)
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Informed Consent - Children's Long-Term Support
Functional Screen (Form F-21076) (Word, 44
KB)
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CLTS Functional Screen: Change in Eligibility
(PDF, 17 KB)
Checklists and Letters for Use by County Waiver
Agencies
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Last Revised: July 02, 2009
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