A PPA Adjustment is a reduction to a caregiver’s gross wages for employer’s payroll taxes and/or when the monthly authorized amount is exceeded. The participant enrolled in the CLTS program is given a monthly maximum authorization amount that is inclusive of employer payroll taxes. The monthly maximum authorized amount can not be exceeded. If the monthly authorized amount is exceeded a PPA Adjustment will appear on the caregiver’s payroll stub.

The monthly authorized amount that a participant enrolled in the CLTS program receives includes an amount for employer payroll taxes. This amount can not be paid out to caregivers’ in the form of gross wages as it is set-aside to pay the participant’s payroll taxes associated with employing a caregiver. 

The maximum rate we had discussed is the rate prior to payroll taxes being deducted. That is the reason the rate realized by your care provider will be slightly less than the rate we discussed.

For a limited time, caregivers may use a paper timesheet until they receive their log-in credentials for the automated Time & Attendance system. After the caregiver and the family receive their log-in credentials, the caregiver will only be paid when time is entered into the T&A system.

Employee pay stubs are posted to their portal on pay day. Pay stubs are not mailed out. Each employee was issued log-in credentials to the portal via email. Your pay stubs will remain in your portal indefinitely.

If you did not receive a paycheck on pay day it may be due to the following reasons:

The participant’s authorization to release your paycheck is still in process. Once the authorization is finalized your payroll check will be released.

Or

If the gross wages you received on your first paycheck exhausted all of the funding available for the month you will not receive a paycheck. 

Caregivers are paid semi-monthly on the 15^th and 30^th of each month. If pay day falls on a weekend day the caregiver will be paid the Friday before the weekend. 

No. It will correct the pay rate for your direct care provider.

Yes. Premiere and UTS are currently being used. If you want to use a different fiscal agent, please talk to your service provider.

The fiscal agent will not pay out for more hours than was authorized. Please monitor the hours your direct care provider is working. If they are nearing the maximum hours authorized, please contact your Service Coordinator to discuss if more hours are needed.

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 tor community-based services.

The program is administered in Milwaukee County by the Milwaukee County Department of Health & Human Services’ Disabilities Services Division.
 

Children who have severe physical, developmental, or emotional disabilities may be eligible for the program. Children must meet the following criteria:

• The child must have a Disability Determination from SSI Medicaid, Katie Beckett Medicaid, or State Waiver Medicaid.
• The child must meet financial requirements in accordance with Medicaid guidelines.
• The child must meet a Level of Care as determined through an assessment and functional screen.

Services funded through the CLTS waiver 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 with a physical disability
• Respite care
• Therapeutic services
• Adaptive aids
   

The CLTS waiver is currently a pilot program administered by the Disabilities Services Division of the Milwaukee County Department of Health & Human Services.

To make a referral, families should call the Disabilities Services Division for a brief telephone assessment.

Referrals can be made from 8 a.m. to 4:30 p.m. Monday through Friday by phone.

(414) 289-6799

Providers may not make a referral on behalf of someone or their family. 
 

The family will be contacted by a representative of Milwaukee County to schedule a home visit to further explain the program, complete an assessment of the child’s functioning, and complete the required paperwork.

The child must:

• Be a U.S. Citizen
• Live in Milwaukee County
• Have a verified diagnosis
• Meet functional eligibility
• Meet financial eligibility

The family is assigned an ongoing Support & Service Coordinator who will work with the family to initiate services and continue to provide support to child and family.