Updated Manual: Medicaid Home and Community-Based Services (HCBS) Waiver for the Children’s Long-Term Services (CLTS) Waiver Program

DHS is updating the Medicaid Home and Community-Based Services Waiver Manual for the CLTS Waiver Program to reflect the five-year renewal of the § 1915(c) waiver application (PDF) and concurrent § 1915(b)(4) waiver application (PDF), approved by the Centers for Medicare & Medicaid Services (CMS) effective April 1, 2017.

The approved waiver period for both applications is effective April 1, 2017, through December 31, 2021.

Service Descriptions

The service descriptions are all final and can be found in the Medicaid Home and Community-Based Services (HCBS) Waiver Manual for the CLTS Waiver Program, P-02256. (PDF)

Draft Chapters for Comment

Chapter 3, Financial Eligibility (PDF)

We invite your comments, questions, and feedback on the Chapter 3 draft via email by October 11, 2019.

Draft Chapters (Comment Period Closed)

Chapter 2, Eligibility (PDF)

Chapter 4, Provider Requirements and Allowable Services (PDF)

Chapter 5, Use of Funding in Substitute Care (PDF)

Chapter 6, Enrollment and Recertification (PDF)

Final Manual

Medicaid Home and Community-Based Services (HCBS) Waiver Manual for the CLTS Waiver Program, P-02256 (PDF)

  • Chapter 1, Overview and Administration
  • Chapter 4, Provider Requirements and Allowable Services: Service Descriptions
Last Revised: September 13, 2019