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Children’s Long-Term Support Program

Wisconsin has three approved CLTS waivers for children with developmental disabilities, physical disabilities, and severe emotional disabilities. The purpose of the waivers is to help families support their children with severe disabilities in their own home.

The CLTS waivers are funded through Medicaid and local funding. They are known as Medicaid Waivers because the federal government “waived” certain regulations so that Medicaid dollars can pay for services in the community. The CLTS Waivers began in 2003 and were developed as a part of the Children’s Long-Term Support Redesign Project in Wisconsin. The CLTS program is based on the principles of being family-centered, individualized for each child and family, outcome-based, flexible, and to promote quality of life.

Who is Eligible?

The CLTS Waivers are available to children and youth under the age of 22 who have a developmental disability, physical disability, or severe emotional disturbance. They are available in all counties in Wisconsin.

A child’s eligibility may be determined by contacting your local human services agency responsible for administering the CLTS Waiver program.

Possible Services Paid For

The CLTS Waivers cover a broad range of services, depending on a child’s and family’s identified needs. Some examples include:

How much does it cost?

The parental fee to participate in the CLTS program is based on family size, household income, and the cost of services that are received. Over 90% of families participating in the CLTS program have no monthly fees.

What is the role of the county and state?

The county’s role is to assist families and children in the application process and service coordination when a child is receiving CLTS Waiver services. This includes working with the family to develop an Individualized Service Plan (ISP) that will include the services and supports that are needed to address the child and family’s unique needs. Service Coordinators continue to work with families to ensure that all needs are being met over time and under changing circumstances.

The state reviews and approves CLTS waiver plans and provides consultation and training for families, providers, and counties.

What is the role of the family?

Guardians are active members of the treatment team and must maintain monthly contact with their support and service coordinator throughout their child’s enrollment in the program. Families assist in identifying the outcomes based on the needs of the family and child.