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Wisconsin Children's Long-Term Support (CLTS) Waiver Provider Registration for County Waiver Agencies, F-02341A (06/2021)

Children's Long-Term Support (CLTS) Waiver Provider Registry for County Waiver Agencies (CWAs)

Welcome to the CLTS Waiver Provider Online Registration for County Waiver Agencies (CWAs)

Note:

Thank you for your interest in providing services for the CLTS Waiver Program. Registering is the first step to becoming an authorized CLTS Waiver Program provider. 

This registration collects basic information about providers offering to deliver waiver services. The information is also used to pay your claims according to federal regulations.

Do not complete the registration process if you are a direct care worker employed by a provider agency or are paid by a fiscal agent.