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Wisconsin Children's Long-Term Support (CLTS) Waiver Provider Registration for County Waiver Agencies, F-02341A (08/2020)

Welcome to the CLTS Waiver Provider Online Registration for County Waiver Agencies

County waiver agencies (CWAs) are required to register as CLTS waiver providers as part of their role and responsibility in delivering support and service coordination and other allowable services to participants. This registration collects basic information about county waiver agencies and this information is used to pay CLTS service claims by the DHS contracted third-party administrator (TPA) vendor. The CWA's information will be displayed on the public-facing CLTS Provider Directory.

Do not complete any other CLTS provider registration form (Financial Management Services, Provider Agency, Sole Proprietor).