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

Assigned Number Titlesort descending Division Other Location
P-02390 CLTS Interim TPA Service Authorization Guide for Statewide Uniform Rates DMS
P-02428 Implementation of Federal Home and Community-Based Services Settings Rule in Wisconsin DMS
AKids All in for Kids DMS
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 DMS
P-02049A Approved § 1915(b)(4) Application for Selective Contracting: Support and Service Coordination Requirements Enrollment DMS
P-02049B Approved § 1915(b)(4) Waiver Application for Selective Contracting: Support and Service Coordination Requirements Desk Aid 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-01780 Children's Community Options Procedures Guide DMS
F-01997 Children's Community Options Reconciliation Packet DMS
F-21232 Children's Long Term Support (CLTS) Waivers Child Information Eligibility Worksheet DMS
P-02283 Children's Long-Term Support (CLTS) Waiver Program Benefit Code Cross Walk 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
F-21353 Children's Long-Term Support Waiver High-Cost Request 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-02509 Children’s Long -Term Support (CLTS) Waiver Wait List Elimination Initiative County Tables DMS
F-00963 Children’s Long Term Support Reconciliation Packet 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
F-02538 Children’s Long-Term Support Waiver Program—Outlier Rate Request DMS
F-02538A CLTS Provider Cost-Based Outlier DMS
P-01772 CLTS Reconciliation Common Adjustments DMS
P-02392 CLTS Waiver Program Statewide Uniform Rate-Setting Transition FAQs DMS
P-02325 CLTS Waiver Rate Setting Initiative: Implementation Timeline DMS
P-01689 CLTS Waiver Waitlist Enrollment Map DMS
F-02008 CLTS Waivers Certification Exam DMS
P-02337 CompassWisconsin: Threshold County Contacts DMS
F-02230 County Agency Children's Community Option Program (CCOP) Annual Plan Update DMS
F-02341 County Waiver Agency Contact: Wisconsin Children's Long-Term Support (CLTS) Waiver Provider SharePoint Site DMS
F-00539 County Waiver Agency Support and Service Coordination (SSC) Rates DMS
P-02246A Deciding Together DMS
P-02246 Deciding Together Guide DMS
F-29315 Declaration of Income and Assets, and State Residency Instructions DMS
F-21072 Determination of Exceptional Care Needs for Children in Child Care or Foster Care Setting DMS
F-02319 Home and Community-Based Waiver Medicaid Enrollment for the Children's Long-Term Support Waiver Program DMS
P-00996 Implementation and Technical Assistance Team Assignment Map DMS
P-00069A Incident Reporting Consumer Guide DMS

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Last Revised: January 18, 2019