Behavioral Treatment and Other Support Services for Children with Autism

Services Currently Provided Under the Children's Long-Term Support Waivers

The Children's Long-Term Support (CLTS) Waivers currently provide funding for specific Autism Spectrum Disorder (ASD) treatment services not covered by BadgerCare Plus; Medicaid for the Elderly, Blind or Disabled (EBD Medicaid); or the Katie Beckett Program. For young children diagnosed with autism, this includes treatment using behavioral methods. The treatment is designed to teach new skills while reducing the challenging behaviors seen in some children with autism. A child who meets the waiver eligibility criteria can participate in this program for up to three years. After three years of treatment, the child may qualify for ongoing waiver services to address any additional needs he or she develops.

New Behavioral Treatment Services to be Provided Under Wisconsin Medicaid and Other FowardHealth Programs

In July 2014, the Centers for Medicare and Medicaid Services (CMS) issued guidance requiring states to provide coverage of autism treatment services as a regular statewide Medicaid benefit through BadgerCare Plus, EBD Medicaid, and the Katie Beckett Program. As a result of this guidance, early in 2016, coverage of behavioral treatment services, including autism treatment services, will be provided through one of these programs, instead of through the CLTS Waivers.

These changes will increase the availability and comprehensiveness of behavioral treatment services available through Medicaid.

Note: The CLTS Waivers will continue to provide support services to meet children's assessed needs.

Learn more about upcoming changes to the autism treatment benefit

Last Revised: October 5, 2015