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DEPARTMENT OF HEALTH SERVICES Division of Medicaid Services F02349 (06/2018)STATE OF WISCONSIN 42 CFR 431.107WISCONSIN MEDICAIDCHILDRENS LONGER SUPPORT (CUTS) WAIVER PROGRAM PROVIDER AGREEMENT AND
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How to fill out childrens long-term support clts

How to fill out childrens long-term support clts
01
Start by gathering all the necessary information about the child, including their medical history, current medications, and any special needs they may have.
02
Contact your local Children's Long-Term Support (CLTS) program to initiate the application process.
03
Fill out the CLTS application form accurately and completely. Provide detailed information about the child's condition and how it affects their daily life.
04
Attach any supporting documentation such as medical reports, therapy evaluations, and school records to strengthen the application.
05
Submit the completed application along with all the required documents to the CLTS program.
06
Attend any scheduled meetings or interviews with CLTS program staff to discuss the child's needs and confirm eligibility.
07
If approved, work with the CLTS program to develop a comprehensive service plan tailored to the child's specific needs.
08
Review and sign the service plan, making sure you understand the available services and how they will be provided.
09
Implement the approved services and regularly communicate with the CLTS program to ensure the child's ongoing needs are met.
10
Periodically update the CLTS program about any changes in the child's condition or needs to ensure their service plan remains relevant and effective.
Who needs childrens long-term support clts?
01
Children who have significant developmental, physical, or intellectual disabilities may be eligible for Children's Long-Term Support (CLTS) services.
02
Children who require ongoing support and care beyond what is typically provided through regular medical or educational services may benefit from CLTS.
03
Families who need assistance in accessing specialized services, therapies, or resources to support their child's unique needs can seek CLTS.
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What is childrens long-term support clts?
Childrens Long-Term Support (CLTS) is a Medicaid program that provides support and services to children with long-term disabilities or chronic health conditions.
Who is required to file childrens long-term support clts?
Parents or legal guardians of children with long-term disabilities or chronic health conditions are required to file for Childrens Long-Term Support (CLTS) benefits.
How to fill out childrens long-term support clts?
To fill out Childrens Long-Term Support (CLTS), parents or legal guardians need to complete an application and provide necessary documentation about the child's disability or health condition.
What is the purpose of childrens long-term support clts?
The purpose of Childrens Long-Term Support (CLTS) is to help children with disabilities or chronic health conditions live at home and in the community by providing necessary support services and resources.
What information must be reported on childrens long-term support clts?
Parents or legal guardians must report information about the child's disability or health condition, medical history, current needs, and the types of support services required on Childrens Long-Term Support (CLTS) application form.
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