Children's Long Term Support 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 disabilities.

The waiver program allows Wisconsin to use Medicaid funding for community-based services.

The program is administered in Milwaukee County by the Milwaukee County Department of Health & Human Services’ Children, Youth, & Family Services (CYFS).

Children who have physical, developmental, or emotional disabilities may be eligible for the program. Families are encouraged to contact our Resource and Referral Line to learn about the enrollment process and schedule an assessment for your child.  Speak to one of our Resource and Referral Specialists at 414-289-6799.

Services funded through the CLTS waiver are based on the child’s needs and the outcomes for the child that are developed with the family/caregiver. Supports and services are unique to every family and are developed by an individual assessment of that child by utilizing the Deciding Together Guide in collaboration with the family (Deciding Together Guide: What It Is and What It Isn't (wisconsin.gov)). 

Learn more about CLTS supports and services here: Children's Long-Term Support Program: Support and Services at a Glance (wisconsin.gov)

To make a referral, families should call the Resource and Referral Line for a telephone assessment.

Referrals can be made from 8 a.m. to 3:30 p.m. Monday through Friday by phone.

414-286-6799 

Providers may not make a referral on behalf of someone or their family. Referrals must be made by the parent or guardian. 

Families will meet with an Options Counselor in their home to further explain the program, complete an assessment of the child’s functioning, and complete the required paperwork.

The child must:

• Live in Milwaukee County
• Have a verified diagnosis or significant developmental delay
• Meet functional eligibility
• Meet financial eligibility

The family is assigned an ongoing Support & Service Coordinator (SSC) who will work with the family to start services and continue to provide support to the child and family. You may be added to a waitlist to begin services depending on our capacity when you are enrolled. This process can be depending on staffing capabilities and waitlists. 

The person who works with your services is called a support and service coordinator (SSC). You can find this contact information on the first page of your child’s Individualized Service Plan (ISP) or by calling 414-289-6799.

Yes! Children can be dually enrolled in CLTS and Comprehensive Community Services (CCS). An Options Counselor can discuss how we are able to collaborate with various programs to meet all of your child’s needs. Children are able to disenroll from CLTS to participate in other programs to meet their immediate needs and reapply for CLTS as their needs evolve.

Children’s Disability Information Line

Web: DYFS Providers (milwaukee.gov)

Email: [email protected]

Phone: 414-289-5990

Milwaukee County Children Youth & Family Services
1220 W. Vliet Street, Suite: 300
Milwaukee, WI 53205
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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 (T&A) 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.