Children's Long-Term Support: How do I become a provider?
Would you like to be a Children’s Long-Term Support (CLTS) provider? Take the first step. Register with us.
The steps involved in becoming a provider and getting paid are easy!
Register with DHS to be an initially approved provider
The Wisconsin Department of Health Services (DHS) will review your registration and qualifications. If you are initially approved, DHS will add your information to the public CLTS Provider Directory. DHS will share your information with the county waiver agency(ies) (CWAs) in the county(ies) you want to deliver services in. They will handle the rest of the process. Read more below.
Become fully qualified through a CWA
The CWA in the county where you want to deliver services will review any additional child or service-specific qualifications you’ll need to become a fully qualified provider. This could include caregiver background checks or training verification. The CWA will send you a contract for their county. Read more below.
Get an authorization from a CWA to deliver services
Once a CWA identifies a participant who needs a service from you, the CWA will issue an authorization for services. Once you have this authorization, you can begin delivering services to that participant. See How do I get paid?
Deliver services and bill the TPA
Once the service is complete, you will bill our third-party administrator (TPA). See How do I get paid?
What to do before you register
Gather your business information
Information or documents you will need during the registration process may include:
- Documents that include your business name as reported to the Internal Revenue Service (IRS), your Tax ID Number (TIN), and either your federal Employment Identification Number (EIN) or your Social Security number (SSN).
- Licensure or certification credentials, if required, based on the selected CLTS service description.
- Training and work experience information, if required, based on the selected CLTS service description.
- National Provider Identifier (NPI)—Only providers delivering medical services or equipment are required to have an NPI.
Identify what type of provider you are
- Provider Agencies–those who employ staff to deliver services
- Sole Proprietors–individuals who typically do not employ staff to deliver services
Note: Do not register if you are employed by an agency. Do not register if you turn in time sheets to a fiscal agent. Ask your employer for more information. Or contact your county Human Service Department.
If you aren’t sure what type of provider you are, you can find out. Call the CLTS Provider Contact Center at 833-940-1576.
Decide what services do you want to deliver
To review short descriptions of the service(s) you are interested in delivering, see the Provider Services at a Glance, P-03181. For full descriptions see Chapter 4 of the Medicaid Home and Community-Based Services (HCBS) Manual for the CLTS Program, P-02256.
Register now
You can start a new registration or request access to an existing registration.
After you register
After you are initially approved, the Wisconsin Department of Health Services (DHS) will share your information with the county waiver agency in the county where you hope to deliver services and add your name to the provider directory.
Get in touch with the county waiver agency in the county where you hope to deliver services. They will handle the rest of the process. That may include:
- Authorizing services
- Background checks
- Making contracts
Note: You are an initially approved provider as soon as you’ve filled out the initial Provider Registry and you receive DHS approval. The county waiver agency must fully approve your status before you are authorized to deliver services.
Questions? Call the CLTS Provider Contact Center at 833-940-1576.