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

Assigned Number Titlesort descending Other Location
P-02390 CLTS Interim TPA Service Authorization Guide for Statewide Uniform Rates
P-02428 Implementation of Federal Home and Community-Based Services Settings Rule in Wisconsin
P-00700 Approved CLTS Treatment Foster Care Administrative Rates
P-02049 Approved § 1915(b)(4) Application for Selective Contracting: Support and Service Coordination Requirements Eligibility
P-02049A Approved § 1915(b)(4) Application for Selective Contracting: Support and Service Coordination Requirements Enrollment
P-02049B Approved § 1915(b)(4) Waiver Application for Selective Contracting: Support and Service Coordination Requirements Desk Aid
F-20987 Authorized Representative Designation Medicaid Community Waiver Programs
F-01715 Calculating Expenses for a CLTS Foster Home Using Actual Expenses
F-01716 Calculating Expenses for a CLTS Foster Home Using the Uniform Foster Care Brochure
P-02273 Care Level Classification Guidelines
P-01780 Children's Community Options Procedures Guide
F-01997 Children's Community Options Reconciliation Packet
F-21232 Children's Long Term Support (CLTS) Waivers Child Information Eligibility Worksheet
F-00539 Children's Long Term Support Service Coordination Rate Worksheet
P-02283 Children's Long-Term Support (CLTS) Waiver Program Benefit Code Cross Walk
F-02349 Children's Long-Term Support (CLTS) Waiver Program Provider Agreement and Acknowledgement of Terms of Participation for County Waiver Agencies
F-01338 Children's Long-Term Support Parental Fee Declaration Form - Model
P-02184 Children's Long-Term Support Waiver (CLTS) Program Rate Schedule
F-21353 Children's Long-Term Support Waiver High-Cost Request
P-01991 Children's Long-Term Support Waiver Program Eligibility and Enrollment User Guide
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
F-02363 Children's Long-Term Support Waiver Program Provider Agreement and Acknowledgement of Terms of Participation for Service Provider Agencies
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
F-02467 Children's Long-Term Support: Care Level Classification
P-00697 Children's Long-Term Supports (CLTS) Waitlist in Program Participation System (PPS) Step-by-Step Training Guide
F-00963 Children’s Long Term Support Reconciliation Packet
P-02035A Children’s Long-Term Support (CLTS) Functional Screen Tip: Social Competency
P-02035 Children’s Long-Term Support (CLTS) Functional Screen Tips: Presenting Diagnoses
P-02277 Children’s Long-Term Support (CLTS) Waiver Program Eligibility and Enrollment Streamlining (EES) Implementation Interim Guidance Update
P-02144 Children’s Long-Term Support Council Current Membership Geographic Map
P-02035B Children’s Long-Term Support Functional Screen (FS) Tip: Behaviors
F-21284 Clinician Confirmation of Diagnosis
P-01772 CLTS Reconciliation Common Adjustments
P-02392 CLTS Waiver Program Statewide Uniform Rate-Setting Transition FAQs
P-02325 CLTS Waiver Rate Setting Initiative: Implementation Timeline
P-01689 CLTS Waiver Waitlist Enrollment Map
F-02008 CLTS Waivers Certification Exam
P-02337 CompassWisconsin: Threshold County Contacts
F-02230 County Agency Children's Community Option Program (CCOP) Annual Plan Update
F-02341 County Waiver Agency Contact: Wisconsin Children's Long-Term Support (CLTS) Waiver Provider SharePoint Site
P-02246 Deciding Together Guide
F-29315 Declaration of Income and Assets, and State Residency Instructions
F-21072 Determination of Exceptional Care Needs for Children in Child Care or Foster Care Setting
F-02319 Home and Community-Based Waiver Medicaid Enrollment for the Children's Long-Term Support Waiver Program
P-00996 Implementation and Technical Assistance Team Assignment Map
P-00069 Incident Reporting Consumer Guide
P-02282 Individual Service Plan (ISP) Signature: Information for Parents
F-20445 Individual Service Plan – Children’s Long-Term Support Programs
P-02012 Information about Disability Determinations for County Waiver Agencies
F-21076 Informed Consent - Children's Long-Term Support Functional Screen

Pages

Last Revised: January 18, 2019