Need Help Finding a CLTS Provider?

Your SSC may be able to help you find providers for needed services. However, you may need to find a provider or contractor.  First, go to Children’s Long-Term Support Provider Database to see if one of the registered providers can do the work or provide the services you need. If the database does not have the provider you need, you may be able to find a provider on your own and ask that they register as a CLTS Provider.

See CLTS: Information for Providers, How Do I Become a CLTS Provider

Children’s Long–Term Support (CLTS) Program Description of Covered Services

(Note that these services are in alphabetical order. To see a partial list by category, see Benefits at a Glance)

Adult Family Homes: Provides individualized treatment, support, and services above the level of room and board for one to four people living together in a residence that is certified or licensed as an adult family home.

Assistive Technology: Assistive technology are items, pieces of equipment, software or application, service animals, product systems, or services that increase, maintain, or improve functional capabilities of participants at home, work, and in the community.

Child Care: Ensure the child’s or youth’s exceptional physical, emotional, behavioral, or personal care needs are met during times when his or her family members are working, pursuing education and employment goals, or participating in training to strengthen the family’s capacity to care for their child. For a child under age 12, CLTS may pay the supplemental cost of child care to meet the child’s exceptional care needs. This could include staffing necessary to meet the child’s care needs above and beyond the cost of basic child care that all families with young children may pay. For a child 12 or older, the total cost of child care may be included.

 Children’s Foster Care: Services are allowable for a child who is placed in a residence operated as a foster home by a licensed person and includes supplementary intensive supports and supervision services beyond the maintenance payment made to foster parents to address a child’s or youth’s exceptional emotional or behavioral needs, or physical or personal care needs, in a family environment.

Communication Assistance for Community Inclusion: these are items and services that facilitate and assist participants with hearing, speech, communication, or vision impairment, including participants with Limited English Proficiency, to maximize the integration within the community. This service assists the participant to effectively communicate with service providers, family, friends, and the general public; decrease reliance on paid staff; increase personal safety; enhance independence; increase community inclusion; and improve social and emotional well-being.

Community/Competitive Integrated Employment (Individual): assists a participant to find and keep employment paid at or above minimum wage in an integrated setting in the general workforce, in a job that meets the participant’s personal and career goals. These services assist a participant who, because of their disabilities, needs intensive ongoing support to obtain and maintain a job in a competitive, customized, or self-employment work setting. Community/competitive integrated employment may include competitive jobs in the public or private sector, or business ownership

Community/Competitive Integrated Employment (small group): Small group community/competitive integrated employment assists a participant to attain sustained employment paid at or above minimum wage in an integrated setting in the general workforce, in a job that meets the participant’s personal and career goals.

 Community Integration Services: Primarily for families with children who have multiple and complex mental health and/or behavioral concerns, and are involved in multiple services and service systems, this service covers intensive case coordination and individualized community-based services.

Counseling and Therapeutic Services: Covers professional evaluation and consultation services to children and youth with identified needs for physical, personal, social, cognitive, developmental, emotional, or substance abuse services. This service can include therapies that are not available under the Medicaid State Plan. Counseling and therapeutic services must meet a clearly defined outcome and may include the following: music therapy, art therapy, hippotherapy or equine-assisted therapy.

Daily Living Skills Training: Provides education and skill development or training to support the child’s or youth’s ability to independently perform routine daily activities and effectively use community resources. These instructional services, provided by qualified professionals, focus on skill development (and do not provide substitute task performance).

Day Services: Day services provide participants with regularly scheduled activities for part of the day. Services are typically provided up to five days per week in a nonresidential setting and may occur in a single physical environment or in multiple environments, including natural settings in the community.

Discovery and Career Planning: Discovery and career planning services provide learning and work experiences where the participant can develop general, non-job-task-specific strengths and skills that contribute to employability in paid employment in integrated community settings.

Empowerment and Self-Determination Supports: Empowerment and self-determination supports help the participant acquire skills to exercise control and responsibility over their other supportive services. Exercising control and responsibility over supportive services helps the participant and their family build an interdependent care network within their community and promotes self-determination.

Family/Unpaid Caregiver Supports and Services: Family/Unpaid Caregiver Supports and Services provides education, training, and support to an unpaid caregiver of a participant that increases confidence, stamina, and empowerment to support and care for the participant. This service includes, but is not limited to: Training, instruction, or support provided in a participant’s home, community, or other appropriate locations, Conferences, Resource materials, Online training, Family-to-family navigation, Support groups, Registration and training fees associated with formal instruction.

Financial Management Services: Assist a child and his or her family to manage the CLTS Waiver Program services and funding. A financial management services provider (also called the fiscal intermediary or fiscal agent) performs financial transactions on behalf of the child or youth for the delivery of CLTS Waiver Program services. The fiscal intermediary also serves as an agent for handling employment-related tasks associated with the authorized supports and services in the child’s ISP.

Grief and Bereavement Counseling: Grief and bereavement counseling helps the participant and/or their family cope with the possible death of the participant and supports the family after the participant’s death.

Health and Wellness: Health and wellness services maintain or improve the health, wellbeing, socialization, or inclusion of the participant with their family and peers in the community. Health and wellness services support the child’s inclusion with the family and peers in health and wellness activities within their community. Health and wellness services focus on healthy habits thereby preventing or delaying higher cost institutional care.

Home Modifications: Include services to assess the need for, arrange for, and provide modification and/ or improvements to the home. Home modifications are generally permanent fixtures and/or changes to the physical structure of the home. This service may be used to ensure safe, accessible means of entry and exit to the home, and provide safe access to rooms, facilities or equipment within the home or adjacent buildings that are part of the residence.

• • • Examples of Home Modifications Include: Fences required for safety; fixed ramps and platforms; porch and/or stair lifts; doors, doorways, door handles, and door opening devices; adaptive door bells, locks, and/or security items or devices; plumbing and electrical modifications related to other adaptations; medically necessary heating, cooling, or ventilation systems; shower, sink, tub, and toilet modifications; accessible cabinetry, countertops, or work surfaces; wall protection; necessary repair, maintenance, and reasonable replacement of an approved home modification.

Housing Support Services: Housing support services provide comprehensive guidance and services for participants and families to obtain and/or retain a safe and accessible living arrangement that meets their needs and preferences.

Participant and Family Directed Goods and Services: Participant and family directed goods and services are services, supports, supplies or goods that address or enhance the participant’s opportunity to meet a long-term support outcome, but are not otherwise provided through another CLTS Program service or the Medicaid state plan.

Participant and Family-Direction Broker Services: Participant and family-direction broker services empower and assist participants and families to direct their own CLTS Program services and supports. The participant and family-direction broker assists the participant and family in meeting their participant and family direction responsibilities. A participant and family-direction broker is an individual who assists in securing and directing participant and family-directed supports.

Personal Emergency Response System: This service secures an immediate response and access to assistance in the event of a physical, emotional, or environmental emergency. A PERS uses a community-based telephonic, global positioning system, or other electronic communications device to provide a direct electronic communications link between the child or youth and emergency responders.

Personal Supports: Personal supports directly and indirectly assist the participant with daily living activities and personal needs, to promote improved functioning and safety in their home and community.

Relocation Services: This service assists with preparations for the child’s or youth’s relocation to a safe and accessible community living arrangement. This service includes supports and essential items needed for a child or youth to establish a community living arrangement when he or she is relocating from an institution or foster home to a less restrictive setting, or when the youth is moving out of his or her family’s home to a more independent setting.

Respite Care: Maintains and strengthens the child’s or youth’s natural supports by easing the daily stress and care demands for his or her family, or other primary caregivers, on a short-term basis. This service provides a level of care and supervision appropriate to the child’s needs while his or her family or other primary caregivers are temporarily relieved from daily caregiving demands. Respite care may take place in a residential or institutional setting, the family’s home, the home of a caregiver, or in other community settings.

Safety Planning and Prevention: Safety planning and prevention includes items or services that reduce risk or danger to help keep the participant safe in their homes and communities. Safety planning and prevention services assists participants who, without such supports, are experiencing or likely to experience safety-related challenges at home or in the community as a result of their disability, trauma, behavioral, social, or emotional issues.

Specialized Medical and Therapeutic Supplies: Specialized medical and therapeutic supplies maintain the participant’s health, manage a medical or physical condition, improve functioning, or enhance independence.

Transportation: This service funds nonmedical, nonemergency transportation needs related to engaging and participating in a child or youth’s community—with the people, places, and resources that are meaningful for his or her self-determination—and to meet his or her goals and daily needs.

If you have questions, you can contact your Support and Service Coordinator (SSC) or your County Waiver Agency Supervisor.

    

INFORMATION AND RESOURCES

Wisconsin Wayfinder: Children’s Resource Network, 877-WiscWay (877-947-2929): Wisconsin Wayfinder offers families one name and phone number to find services for children with special health care needs. Wayfinder connects you to a resource guide at one of the five Children’s Resource Centers in your area.