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

The CLTS Program Participant and Family Handbook is here!

This easy-to-use handbook was created to help families better understand the CLTS Program, so they can better access available supports and services and navigate the program with confidence.

Get the Children’s Long-Term Support Program Participant and Family Handbook, P-03689.

Below is a list of all Children's Long-Term Support (CLTS) Waiver forms and publications. If the document is available to order in a paper version, there will be a "Yes" with a link to ordering instructions.

When you are searching for a document, enter the number or a portion of the title in the search box below.

Assigned Number Title Release Date File Type Language Available to Order
N/A Children’s Long-Term Support (CLTS) Program Remote Services Billing Training 08/2021 PDF English No
P-03061 Children's Programs Eligibility and Functional Screen 07/2021 PDF English Yes
P-03061S Children's Programs Eligibility and Functional Screen, Spanish 07/2021 PDF Spanish No
P-03061H Children's Programs Eligibility and Functional Screen, Hmong 07/2021 PDF Hmong No
P-03057 Eligibility and Enrollment Streamlining (EES) Reports 07/2021 PDF English No
P-02442 Children's Long-Term Support Waiver Provider Bulletin 2021-02 07/2021 PDF English No
P-02184 2021 CLTS Waiver Program Rate Schedule, Changes Shown 07/2021 PDF English No
P-02184 2021 CLTS Waiver Program Rate Schedule 07/2021 PDF English No
N/A CLTS Timely Filing Claim Processing Changes 06/2021 PDF English No
N/A All in for Kids: CLTS #3, May 2021 (Hmong) 05/2021 PDF Hmong No
N/A All in for Kids: CLTS #3, May 2021 05/2021 PDF English No
N/A All in for Kids: CLTS #3, May 2021 (Spanish) 05/2021 PDF Spanish No
N/A 1915(b)(4) Children’s Long-Term Support Waiver Fee-for-Service Selective Contracting Program 04/2021 PDF English No
N/A 1915(c) Children’s Long-Term Support Home and Community-Based Services Waiver Application 04/2021 PDF English No
F-21076RY Informed Consent – Children's Long-Term Support Functional Screen, Rohingya 03/2021 Word Rohingya No
F-21076S Informed Consent - Children's Long-Term Support Functional Screen, Spanish 03/2021 Word Spanish No
F-21076 Informed Consent – Children's Long-Term Support Functional Screen 03/2021 Word English No
F-21076V Informed Consent – Children's Long-Term Support Functional Screen, Vietnamese 03/2021 Word Vietnamese No
F-21076H Informed Consent - Children's Long-Term Support Functional Screen, Hmong 03/2021 Word Hmong No
F-21076SO Informed Consent – Children's Long-Term Support Functional Screen, Somali 03/2021 Word Somali No
F-21076KA Informed Consent – Children's Long-Term Support Functional Screen, Karen 03/2021 PDF Karen No
N/A Example CLTS F-00963 Packet 03/2021 PDF English No
N/A All in for Kids: CLTS #2, February 2021 (Spanish) 02/2021 PDF Spanish No
N/A All in for Kids: CLTS #2, February 2021 02/2021 PDF English No
N/A All in for Kids: CLTS #2, February 2021 (Hmong) 02/2021 PDF Hmong No

Glossary

 
Last revised January 25, 2023