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Wisconsin Children's Long-Term Support (CLTS) Waiver Provider Registration - F-02341A


Welcome to the CLTS Waiver Provider Registry!

Thank you for your interest in delivering services and supports to children with disabilities. Registering is the first step of DHS's requirements to become a qualified CLTS waiver provider.

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

 
After you submit your registration, DHS forwards your information to your county waiver agency (CWA). Your CWA will manage the rest of the qualification process.

Note: Do not complete this registration process if you are a direct care employee of a provider or submit time sheets to a fiscal agent.