What is the Children’s Long Term Support Waiver Program?
The Children’s Long Term Support (CLTS) waiver program is a Medicaid Home and Community Based Waiver program that provides services for children with severe disabilities. The waiver program allows Wisconsin to use Medicaid funding for community-based services, including treatment services for children diagnosed with an Autism Spectrum Disorder. The program is administered by Milwaukee County Department of Health and Human Services, Disability Services Division for residents of Milwaukee County. Children who continue to meet the functional and financial eligibility for the CLTS waiver can receive services until age 22.
Who is eligible for the CLTS waiver?
Children who have a severe physical, developmental or emotional disability may be eligible for the program. Children must meet the following criteria:
- Child has a Disability Determination from SSI Medicaid, Katie Beckett Medicaid or State Waiver Medicaid
- Child meets financial requirements in accordance with Medicaid guidelines
- Child must meet a Level of Care as determined through an assessment and Functional Screen
Children who are diagnosed with an Autism Spectrum Disorder, which includes Autism, Pervasive Developmental Delays or Asperger’s, must meet additional requirements in order to be eligible for specialized treatment programs.
What services are provided through the CLTS Waiver?
Services funded through the CLTS waivers are based on the child’s assessed needs and the outcomes for the child that are developed with the family/caregiver. Examples of services could include: home modifications for a child who has a physical disability, respite care, therapeutic services, and adaptive aids.
How can families apply for the CLTS waiver?
The CLTS waiver services children with a severe disability is currently a pilot program administered by Milwaukee County Department of Health and Human Services, Disability Services Division for residents of Milwaukee County. To make a referral, families should call the Milwaukee County Disability Services Division at (414)289-6799 and be placed on the waiting list for children’s services.
What happens after a family makes the referral?
When the child’s name comes up on the waiting list, the family will be notified and a representative of Milwaukee County will make a home visit to the family to further explain the program, complete an assessment of the child’s functioning and complete the required paperwork.
Eligibility criteria to be placed on the waiting list includes:
- Child is a citizen of the U.S.A.
- Child has resided in Wisconsin for at least the past six months
- Child has a verified diagnosis
- Child meets functional eligibility
- Child meets financial eligibility
For children diagnosed with an Autism Spectrum Disorder, additional eligibility criteria to be placed on the waiting list are required, which includes:
- Child has a verified diagnosis of an Autism Spectrum Disorder by a licensed psychologist or psychiatrist
- Child is less than 8 years old
- Child has a Disability Determination from Medicaid
- Family has agreed to accept Autism treatment services for at least one year
- Family has contacted a treatment provider who has agreed to provide services for the child when the waiver is obtained.
The State maintains a waiting list for this program and notifies Milwaukee County when the child can begin services.
Is there a parental fee for this program?
Yes, there is a parental fee for the program for children up to 18 years old. The fee is based on the family’s size, the parents’ Adjusted Gross Income and the cost of the authorized waiver services. Family’s who have an income level 330% at or below poverty will not have a parental fee. The service coordinator will provide the parental fee information once the fee is determined. The parental fee is reviewed on an annual basis.
What happens when a child is approved for participation in the CLTS Waiver?
The family is assigned an ongoing Support & Service Coordinator. The Support & Service Coordinator will work with the family to initiate services and continue to provide ongoing support and assistance to the individual and family.
How can I get more information or make a referral?
Referrals can be made from 8:00A.M. to 4:30P.M., Monday through Friday via:
Phone: (414) 289-6799 (English & Spanish)
Voicemail is available 24 hours per day, 7 days per week
Wisconsin Department of Health Services – Bureau of Long Term Support Website: