Children's Long-Term Support (CLTS) Waiver Forms and Publications - Resources for Counties

Assigned Number Titlesort descending Division Other Location
P-02589 CLTS Average Length of Time Spent on Current Wait List DMS
P-02428 Implementation of Federal Home and Community-Based Services Settings Rule in Wisconsin DMS
P-02049B (Currently being updated) Approved § 1915(b)(4) Waiver Application for Selective Contracting: Support and Service Coordination Requirements Desk Aid DMS
AKids19 All in for Kids: CLTS 2019 DMS
AKids20 All in for Kids: CLTS 2020 DMS
AKids21 All in for Kids: CLTS 2021 DMS
P-02701 Appendix K Waivers OS
P-00700 Approved CLTS Treatment Foster Care Administrative Rates DMS
P-02049 Approved § 1915(b)(4) Application for Selective Contracting: Support and Service Coordination Requirements Eligibility and Enrollment DMS
F-20987 Authorized Representative Designation Medicaid Community Waiver Programs DMS
F-01715 Calculating Expenses for a CLTS Foster Home Using Actual Expenses DMS
F-01716 Calculating Expenses for a CLTS Foster Home Using the Uniform Foster Care Brochure DMS
P-02273 Care Level Classification Guidelines DMS
P-00996 Children and Family Program Specialist Assignment Map DMS
P-01780 Children's Community Options Procedures Guide DMS
P-02649 Children's Incident Tracking and Reporting System DMS
P-02617 Children's Incident Tracking and Reporting User Guide DMS
P-02283 Children's Long-Term Support (CLTS) Waiver Program Benefit Code Cross Walk DMS
F-02587 Children's Long-Term Support (CLTS) Waiver Program Deciding Together Implementation Planning Tool DMS
F-02349 Children's Long-Term Support (CLTS) Waiver Program Provider Agreement and Acknowledgement of Terms of Participation for County Waiver Agencies DMS
F-01338 Children's Long-Term Support Parental Fee Declaration – Model DMS
P-02184 Children's Long-Term Support Waiver (CLTS) Program Rate Schedule DMS
P-01991 Children's Long-Term Support Waiver Program Eligibility and Enrollment User Guide DMS
F-02365 Children's Long-Term Support Waiver Program Provider Agreement and Acknowledgement of Terms of Participation for Fiscal Agents Managing Self-Directed Waiver Supports DMS
F-02363 Children's Long-Term Support Waiver Program Provider Agreement and Acknowledgement of Terms of Participation for Service Provider Agencies DMS
F-02364 Children's Long-Term Support Waiver Program Provider Agreement and Acknowledgement of Terms of Participation for Sole Proprietor or Individual Waiver Service Providers DMS
F-02467 Children's Long-Term Support: Care Level Classification DMS
P-00697 Children's Long-Term Supports (CLTS) Waitlist in Program Participation System (PPS) Step-by-Step Training Guide DMS
P-02613 Children’s Incident Reporting for Providers DMS
F-00963 Children’s Long Term Support Reconciliation Packet DMS
P-02597 Children’s Long-Term Services (CLTS) Waiver Program Wait List Elimination Initiative DMS
P-02570 Children’s Long-Term Support (CLTS) Benefits at a Glance DMS
P-02035C Children’s Long-Term Support (CLTS) Functional Screen Tip (FS): Summary of Changes to the CLTS FS DMS
P-02035A Children’s Long-Term Support (CLTS) Functional Screen Tip: Social Competency DMS
P-02035 Children’s Long-Term Support (CLTS) Functional Screen Tips: Presenting Diagnoses DMS
P-02277 Children’s Long-Term Support (CLTS) Waiver Program Eligibility and Enrollment Streamlining (EES) Implementation Interim Guidance Update DMS
P-02144 Children’s Long-Term Support Council Current Membership Geographic Map DMS
P-02035B Children’s Long-Term Support Functional Screen (FS) Tip: Behaviors DMS
P-02874 Children’s Long-Term Support Waiver Application Renewal–Proposal Summary DMS
F-02538 Children’s Long-Term Support Waiver Program—Outlier Rate Request DMS
P-02564 Children’s Long-Term Support Waiver Provider Registration Instructions Tip Sheet DMS
F-02749 CLTS Exceptional Expense Notification DMS
F-21353 CLTS One Time High-Cost Notification DMS
F-21353i CLTS One Time High-Cost Notification Instructions and Typical Ranges DMS
F-02538A CLTS Provider Cost-Based Outlier DMS
P-02785 CLTS Provider Recruitment Direct Care Worker Table Tent DMS
P-02719 CLTS Recruitment Poster: Direct Care Workers DMS
P-02720 CLTS Recruitment Poster: Product Provider DMS
P-02728 CLTS State Level Waitlist Administration Process DMS
F-02534 CLTS Waiver Fiscal Agent and Fiscal Intermediary Registration DMS

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Last Revised: January 18, 2019