These are questions and answers about how the end of the COVID-19 public health emergency affects the Children's Long-Term Support (CLTS) Program.
The PHE ends on May 11, 2023.
The Wisconsin Department of Health Services (DHS) will be ending the temporary policies put into place during the pandemic.
- We aim to ensure participants and their families understand changes that will happen and when they’ll happen. The DHS, local agencies that operate the CLTS Program in your county, and other agencies are working together to keep you up-to-date about what to expect.
- We will work together with you to plan ahead for any needed adjustments to your supports and services. Your support and service coordinator (SSC) will support you to make any changes, using the Deciding Together, P-02246, process.
Annual program eligibility activities will be resuming. At some point between June 2023 and May 2024, you will need to do an eligibility redetermination to stay enrolled in the CLTS Program. Your support and service coordinator (SSC) will reach out to you about scheduling this review and assist you with completing the activities.
You will also need to do a renewal for your Medicaid healthcare program (the one on your ForwardHealth card). If you are enrolled in Katie Beckett Medicaid, go to the Katie Beckett Medicaid webpage for more information or contact an eligibility specialist at 888-7863246 or DHSKatieBeckett@dhs.wisconsin.gov. Find information about renewals for other Medicaid healthcare programs on the DHS Medicaid News for Members: Post-COVID Changes - Keeping you informed webpage. Your SSC can also give you information about your Medicaid healthcare program renewal.
- Make sure your contact information is correct. You can do this with your SSC. If you’re not sure who your SSC is, contact your county representative for the CLTS Program to be sure they have correct contact information for you.
- Watch for messages from DHS and your CLTS SSC. Read messages from the state and county. Act by your deadline.
An eligibility redetermination confirms you still meet program eligibility rules. You can find out more by reading the Children’s Programs Eligibility and Functional Screen, P-03061, document.
Your SSC will tell you when your redetermination will be and what to expect for the redetermination.
If anything in the list below applies to you, you may not stay enrolled in the CLTS Program. You will not be disenrolled before June 1, 2023. Your SSC will contact you before May 11, 2023, and talk with you about other options available to you.
- You are 22 years old or older.
- You live in an ineligible setting and have lived there for more than 90 days.
- You have not responded or do not respond to requests for information from your SSC or local county waiver agency. They need certain information from you for you to stay enrolled in the CLTS Program.
If you did not meet a qualifying level of care with your most recent functional screen, you will have another functional screen after the PHE ends. This must happen at some point between June 1, 2023, and May 31, 2024. Your SSC will tell you when your next functional screen will be.
Yes, CLTS Program remote services options will continue as permanent options after the PHE ends. Tell your SSC you want to use remote services, and they will give you more information about remote services and help you set them up.
No, there are some services that you must receive in person from the provider. Remote services may be used only when they are functionally equivalent (that is, have the same outcome) to in-person services. There are remote service options for most services as long as they have the same outcome as in-person services. The following services may not be received as remote services:
- Adult family home
- Child care
- Children’s foster care
- Relocation services
For support and service coordination, you must have an in-person meeting with your SSC at least once every six months. One in-person meeting with your SSC each year must be at your home.
Yes, PPE you need to help you reach your goals can still be considered for coverage through the CLTS Program after the PHE ends.
You may not be paid to deliver CLTS Program caregiver services to your child on or after November 11, 2023, when the federal authority for this temporary exception ends. Your SSC will talk with you and help arrange and start services with different providers to meet your child’s needs before this temporary allowance ends.