COVID-19: Updates for County Agencies Serving Children With Delays or Disabilities

Information about the COVID-19 virus is changing rapidly. The Wisconsin Department of Health Services (DHS) has established this page to keep county agencies that administer programs for children with delays or disabilities informed about news, resources, and policy related to the virus so they can effectively care for participants and families. County agencies are encouraged to check this page frequently to stay informed in this quickly evolving situation.

Children’s Long-Term Support (CLTS) Waiver Program and Children’s Community Options Program (CCOP)

DHS is committed to protecting the health and safety of our CLTS Waiver Program and CCOP participants and families during the COVID-19 pandemic.

 Changes in Face-to-Face Support and Service Coordination Contacts

Effective May 13, 2020, all support and service coordination contacts may be completed either face-to-face or remotely, by phone or alternate electronic or virtual method. In‐person service coordination contacts required by the CLTS Waiver Program Manual (P-02256) may be completed either face-to-face or remotely, including:

  • In‐person contacts and assessments required by policy.
  • Initial or recertification CLTS Functional Screens required by policy.

DHS is committed to reducing the risk of COVID‐19 exposure to program participants and staff. It is imperative to take measures to protect populations at an elevated risk of becoming seriously ill should they become infected. In-person contacts can be replaced by phone or online contact that will not jeopardize the health and safety of the member.

County waiver agencies (CWAs) must work with families to affirm their acceptance of remote service during this health pandemic. The family leads this decision and the CWA ensures the family’s decision is authorized in compliance with program requirements.

Discussion with the family about face-to-face support and service coordination must include information about available options and risks associated with each option. CWAs should review available information from their local public health department authorities and align their practices for face-to-face service delivery with the guidance from those local authorities.
All time frame requirements for intake, eligibility, service coordination, etc. remain in place.

Please contact your technical assistance lead with any questions.


Individual face-to-face services temporarily allowed as remote services

In response to the COVID-19 pandemic, the following covered services can be provided to CLTS and CCOP participants remotely:

  • Community integration services
  • Counseling and therapeutic services for which the desired outcome can be accomplished via verbal and visual cueing
    • Including camps authorized through federal procedure codes T2036 and T2037
  • Daily living skills training 
  • Day services
  • Home modification
  • Housing counseling
  • Mentoring
  • Relocation services
  • Support and service coordination
  • Supported employment-individual and small group
  • Supportive home care

Group setting face-to-face services temporarily allowed as remote services

In response to the COVID-19 pandemic, the following covered services can be provided to CLTS and CCOP participants remotely in group settings:

  • Counseling and therapeutic services for which the desired outcome can be accomplished via verbal and visual cueing
  • Community integration services
  • Consumer education and training
  • Daily living skills training
  • Day services
  • Housing counseling
  • Mentoring
  • Supported employment–small group
  • Supportive home care
  • Training for parents and/or guardians and families of children with disabilities

Services that can always be provided remotely

The following services may be provided remotely for the CLTS Waiver Program and CCOP:

  • Assistive technology and communication aids
  • Consumer education and training
  • Training for parents and/or guardians and families of children with disabilities

Remote provision is not applicable for the following services:

  • Adaptive aids
  • Financial management services
  • Personal emergency response system relocation services
  • Specialized medical and therapeutic supplies

Remote provision is prohibited for the following services:

  • Adult family home
  • Child care
  • Children’s foster care
  • Respite
    • Excluding camps authorized through federal procedure codes T2036 and T2037
  • transportation

 Weekly Teleconferences

DHS is holding weekly Zoom meetings to share information with counties and providers as it becomes available. Follow-up questions and answers are available.

Recordings and presentation materials of each teleconference are available for download in Adobe Connect.

 Program Operations Questions and Answers

Questions and answers are now available for the CLTS Waiver Program and CCOP. These Q&As explain program operations during COVID-19 and are updated based on weekly teleconferences with CWAs and providers.

 Telehealth for Medicaid Benefits

The response to COVID-19 is rapidly evolving, and CLTS and CCOP providers are directed to get the latest information about Medicaid Telehealth from the Telehealth Resources for Providers page on the ForwardHealth portal. FAQs are also available.

 Resources

 

Birth to 3 Program

DHS is committed to protecting the health and safety of our Birth to 3 Program participants and families during the COVID-19 pandemic.

 Changes in Face-to-Face Contact

Effective May 13, 2020, the following contacts may be completed either face-to-face or remotely, by phone or alternate electronic or virtual method:

  • Intake (initial home visits)
  • Evaluation and Individualized Family Service Plans
  • Ongoing service delivery (home visits)
  • Service coordination 

DHS is committed to reducing the risk of COVID‐19 exposure to program participants and staff. It is imperative to take measures to protect populations at an elevated risk of becoming seriously ill should they become infected.

County Birth to 3 Programs must work with families to affirm their acceptance of face-to-face service during the COVID-19 pandemic. The family leads this decision. Discussion with the family should address available options for service delivery and risks associated with each option. County Birth to 3 Programs should review available information from their local public health department authorities and align their practices for face-to-face service delivery with the guidance from those local authorities. Remote provision of services continues to be available. 

Please contact your technical assistance lead with any questions.

 Weekly Teleconferences

DHS is holding weekly Zoom meetings to share information with counties and providers as it becomes available. Follow up questions and answers are available.

Recordings and presentation materials of each teleconference are available for download in Adobe Connect.

 Program Operations Questions and Answers

Questions and answers are now available for Birth to 3 providers and county agencies. These Q&As explain program operations during COVID-19 and are updated based on weekly teleconferences with county agencies and providers.

 Telehealth for Medicaid Benefits

The response to COVID-19 is rapidly evolving, and CLTS and CCOP providers are directed to get the latest information about Medicaid Telehealth from the Telehealth Resources for Providers page on the ForwardHealth portal. FAQs are also available.

 Resources

Last Revised: June 5, 2020

 RESPONSE RESOURCES FOR WISCONSINITES — www.dhs.wisconsin.gov/covid-19/help.htm