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Welcome  » April 30, 2025 6:47 PM
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Alerts
  • Children’s Long-Term Support (CLTS) Program Providers and County Waiver Agencies: The CLTS Operations Team is available for your questions about submitting prior authorizations (PAs) or claims for CLTS services. Reach the CLTS Operations Team at 844-942-5870 or CLTSOperations@gainwelltechnologies.com.
  • Attention CLTS Providers: The CLTS Prior Authorization Conversion is still processing. If you have any difficulties submitting claims, please contact the CLTS Operations Team at 844-942-5870 or CLTSOperations@gainwelltechnologies.com.
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Katie Beckett Medicaid


Katie Beckett Medicaid is for children under 19 years old with long-term disabilities or complex medical needs. Children who are not eligible for other Medicaid programs because their parents' income or assets are too high may be eligible for Wisconsin Medicaid through Katie Beckett Medicaid.

For information specific to children and families, visit the Wisconsin Department of Health Services (DHS) site.

Forms

F-10115  BadgerCare Plus / Medicaid Health Insurance Information
F-14014  Authorization to Disclose Information to Disability Determination Bureau (DDB)
F-20582  Medicaid – Katie Beckett Program Application
F-21076  Informed Consent – Children's Long-Term Support Functional Screen
 

What's New?
A summary of what is new for children’s specialty programs:


Children's Long-Term Support Program: Third-Party Administration Transition
 
 
 
 
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