The Children's Long-Term Support (CLTS) Home and
Community-Based Waivers
OVERVIEW OF THE CLTS WAIVERS
The Children's Long-Term Support (CLTS) Waivers were submitted to the federal Centers for
Medicare and Medicaid Services (CMS) (exit DHS) for review under the Medicaid rules
that permit states to flexibly use Medicaid funds for community supports
and services. These waivers are called home and community-based service (HCBS)
waivers. The waivers give the state the flexibility to develop and
implement creative alternatives to placing Medicaid-eligible individuals
in hospitals, nursing facilities or intermediate care facilities for
persons with mental retardation. The HCBS waiver program recognizes that
many individuals at risk of being placed in these facilities can be cared
for in their homes and communities, preserving their independence and ties
to family and friends at a cost no higher than that of institutional care.
States have the flexibility to design each waiver program and select
the mix of waiver services that best meets the needs of the population
they wish to serve. Wisconsin DHS has a variety
of services with the children's waivers. DHS also included the
intensive in-home treatment service with the waiver
application. States can make home and community-based
services available to individuals who would otherwise qualify for Medicaid
only if they were in an institutional setting.

Mediation services are available to the parents
of children who are receiving services through the Children's Long-Term
Support Home and Community-Based MA Waivers. The Bureau of Long-Term
Support has contracted with Marquette
University Center for Dispute Resolution to provide these services in
situations that meet certain criteria.
Frequently Asked Questions About
Mediation and the CLTS Waivers (PDF, 18 KB)
Last Revised: July 29, 2008 |