Intellectual and Developmental Disabilities

Children's Long-Term Support

Wisconsin's Children's Long-Term Support (CLTS) Waiver Program (including the Katie Beckett Program and the Children's Community Options Program) makes Medicaid funding available to support children with substantial limitations due to developmental, physical, or severe emotional disabilities who are living at home or in the community. Funding can be used to support a range of services based on an assessment of the needs of the child and his or her family.

The CLTS waiver is available to children and youth under the age of 22 who have a diagnosis of an intellectual and/or developmental disability, physical disability, and/or mental health disability. To receive services in Dane County, a child must be living in Dane County and be eligible for Medicaid. A child/youth must also be found eligible by meeting a level of care that is typically provided in a setting such as a hospital, nursing home, or institution for people with developmental disabilities. A screening tool known as the Functional Screen is used to determine a person's level of care.

There are a broad range of services offered through the CLTS Waiver Program to meet the needs and goals of your child and your family. Each plan is individualized and a CLTS case manager will work with children and their families to identify needs and goals that will help a child be an active participant in their home and community. In addition to a case manager some examples of possible services include:

  • Adaptive aids
  • Communication aids
  • Daily living skills training
  • Respite
  • Home modifications
  • Supportive home care

Dane County contracts with CompassWisconsin: Threshold to provide a unified point for intake, application, and eligibility determination for Wisconsin's CLTS programs. To speak with one of Dane County's CompassWisconsin: Threshold consultants, please call (608) 288-9808.

After CompassWisconsin: Threshold completes their assessment, including the functional screen; the State of Wisconsin Department of Health Services will review the screen and eligibility and then send you a letter confirming if your child is eligible. Your child's eligibility information will also be sent to Dane County Human Services, who in turn will assign your child to a CLTS case management agency. In addition to Dane County Human Services CLTS unit, the county contracts with two additional agencies that provide a CLTS case management services. A CLTS Case Manager will reach out to the parents or guardian directly to start the process of receiving CLTS waiver services and supports.