Registering with the Department of Health Services (DHS) is the first step in becoming an approved provider of CLTS waiver services.
Below is information about how to register, helpful contacts, and new provider resources.
- Learn more about the program and service descriptions in the Medicaid Home and Community-Based Services (HCBS) Waiver Manual for the CLTS Waiver Program, P-02256 (PDF).
- For help with registration, see the CLTS Waiver Provider Registration Instructions Tip Sheet, P-02564 (PDF).
- Sign up for the CLTS provider email list to receive updates about provider-related information.
- For more information about the benefits of registering as a provider, visit the Become a Provider webpage.
Find a CLTS Provider
Our provider directory is new and currently contains support and service coordination providers, fiscal agents, and fiscal intermediaries. Search the CLTS provider directory:
How to Register
All CLTS waiver providers must complete the steps below to register. DHS requires providers to re-register every four years.
Note: If you are an employee of a provider agency or submit time sheets to a fiscal agent, do not complete this registration process. Instead, contact the local county human service department or your employer for more information.
Step 1: Complete, sign, and scan the appropriate CLTS Medicaid Waiver Provider Agreement (see the New Provider Resources tab). You will upload this form during the online registration process.
Step 2: Gather your business information (business name as reported to the IRS, tax ID number, and national provider identifier (NPI) if you are a county waiver agency or deliver medical services.
Step 3: Fill out the online registration form. You will receive a confirmation email upon successful registration.
- If you are a sole proprietor who delivers services and does not employ staff for service delivery, register at: CLTS Waiver Sole Proprietor Registration, F-02672.
- If you are a provider agency and employ staff for service delivery, register at: CLTS Waiver Provider Agency Registration, F-02617.
- If you deliver financial management services (FMS) and issue payments to self-directed workers, register at: CLTS Waiver Fiscal Agent and Fiscal Intermediary Registration, F-02534.
Step 4: After your successful registration, DHS will share your information with the county waiver agency in the area you wish to provide services.
Step 5: Contact the county waiver agency(ies) where you are interesting in delivering services. They will manage the rest of the provider approval process, including conducting screening activities, verifying your credentials, issuing any contracts or agreements, claims processing forms, and authorizing services.
Note: Filling out the CLTS Waiver Provider Registry does not mean you are approved as a qualified provider authorized to deliver services. The county waiver agency must approve your provider qualification status before you are authorized to deliver services.
Questions? Call Provider Registration and Directory Assistance at 833-940-1576.
- Contact the local county waiver agencies. They can:
- Help direct care workers get set up with a fiscal agent or other agency.
- Help you find more information about becoming a provider in a certain county.
- Approve you to provide services in a certain county.
- Contact the Provider Registration and Directory Assistance at 833-940-1576. They can:
- Answer questions about the registration process.
- Help you navigate the provider directory.
New Provider Resources
CLTS Waiver provider information and updates
The Resources for Providers webpage has all the information providers need to understand program policies, procedures, initiatives, rates, and other updates. This includes:
- Provider registration
- Provider directory
- Provider rates
- Provider bulletins
- Claims processing
- Program policy
- Guides and resources
CLTS Waiver provider agreement forms
When you register, you will need to upload a completed CLTS Medicaid Waiver Provider Agreement form to the Provider Registry. Choose the appropriate form from the list below.
- Individual, sole proprietors unaffiliated with an agency or service organization
- Complete the Children's Long-Term Support Waiver Program Provider Agreement and Acknowledgement of Terms of Participation for Sole Proprietor or Individual Waiver Service Providers, F-02364.
- Self-employed individual who delivers services and does not employ staff for service delivery
- Examples include an individual music therapist, carpenter, or child care provider.
- Service provider agencies
- Complete the Children's Long-Term Support Waiver Program Provider Agreement and Acknowledgement of Terms of Participation for Service Provider Agencies, F-02363.
- Examples include (but are not limited to) corporations, partnerships, limited liability companies (LLCs), such as child care agencies, supportive home care agencies, and respite agencies.
- Fiscal agents or fiscal intermediaries
- Complete the Children's Long-Term Support Waiver Program Provider Agreement and Acknowledgement of Terms of Participation for Fiscal Agents Managing Self-Directed Waiver Supports, F-02365.
- Providers who deliver financial management services and issue payments to self-directed workers
CLTS claims payment information
DHS contracts with Wisconsin Physicians Service (WPS) as the CLTS third-party administrator (TPA) claims processing vendor. WPS processes and issues payments to providers, reports claim data to DHS, and recovers overpayments per federal regulations. Once you have been approved as a provider and authorized to deliver services, you will submit claims to WPS for payment.
DHS has developed statewide payment rates for most CLTS waiver services. Providers are paid based on these rates. You can find out more at the CLTS Waiver Service Rates Initiative page.