Children's Long-Term Support Waivers Who is Eligible?
All children or young adults must meet the basic requirements listed below for CLTS
Waivers eligibility. To qualify for certain types of funding, there may be additional
requirements.
To participate in the CLTS Waivers, your child must:
- be under 22 years of age;
- be eligible for Wisconsin Medicaid, including:
- be a United States citizen or have acceptable immigration status;
- be a Wisconsin resident;
- not have income in their name in excess of the current Medicaid standards;
- live at home or in a foster care setting;
- have a level of care (PDF, 134 KB)
need that is typically provided in an institutional setting such as a hospital, a nursing
home, or an institution for people with developmental disabilities;
- be able to receive safe and appropriate care at home and/or in the community; and
- be able to receive safe and appropriate care at home and/or in the community
that does not have a cost to the Wisconsin Medicaid Program that exceeds the
cost Medicaid would pay if the child were in an institution
Waiver services are funded in part by the federal government and in part by the state
or the county. The federal “match” is determined by the U.S. Department of
Health (exit DHS). For the CLTS Waivers, Wisconsin fully
funds the state “match” for many waiver participants, and local county agencies may have
some local funds they could use as a “match” for other waiver participants.
Disability Determination for “State-Matched” Waiver Funding. Any waiver participant
receiving services that are fully matched by the state must meet all the eligibility
criteria listed above. In addition, a child whose waiver services are fully state-matched
must first be determined to meet a disability listing as defined by Social Security
Administration rules. Your Service Coordinator at the county waiver agency will let
you know if your child will need a disability determination, and will refer you for
a disability application when needed.
Funding for Intensive In-Home Treatment for Autism Spectrum Disorders.
Last Revised: September 26, 2011
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