Children's Long-Term Support Program County Waiver Agency and Provider Resources

Welcome » August 12, 2025 5:00 PM

The Children’s Long-Term Support (CLTS) Program helps children with disabilities and their families through supports and services that help children grow and live their best lives in their homes and communities.

The ForwardHealth Portal

Here are some important notes about how the Portal works:

CLTS providers can access claims and PA history on the Portal.
ForwardHealth only accepts Health Insurance Portability and Accountability Act of 1996 (HIPAA)-standard claim submission methods. Providers can use the Portal to:
- Submit claims in a HIPAA-compliant electronic format.
- Create a claim from a PA.
- Copy and modify an existing paid claim instead of entering a new claim.

Training Resources

Written and video presentations of the trainings are available:

Children’s Long-Term Support Provider Claims Training, presentation and video
Children’s Long Term Care Program Claims and PA Refresher Training for CWAs video
CLTS: Claims Search and Viewing Remittance Advice video video

Resources

CLTS Providers

Factsheet	Description
Assigned Children’s Long-Term Support (CLTS) Operations Representatives by County (PDF)	Map and contact information of CLTS Operations representatives assigned to each Wisconsin county
Children’s Long-Term Support Program and Electronic Data Interchange Guidance (PDF)	Guidance about where to submit claims for CLTS Program services
Children's Long-Term Support (CLTS) Program Benefit Code Crosswalk (P-02283)	Guidance on codes and modifiers for CLTS services
Children’s Long-Term Support Program Claim Attachments and Instructions (PDF)	Guidance for when and how to attach documentation to claims for CLTS services
Children’s Long-Term Support Program: Multiple Dates of Service on a Claim (PDF)	Guidance for billing multiple dates of service, also known as span billing, on a claim for CLTS services
Children’s Long-Term Support Program Place of Service Codes (PDF)	Table of place of service codes for CLTS services
Children’s Long-Term Support Program Provider Email Resources (PDF)	Guidance on the most appropriate email resource for provider CLTS Program questions
Children's Long-Term Support Waiver (CLTS) Statewide Uniform Rate Schedule (P-02184)	Rates on the CLTS rate schedule represent the maximum amounts that can be paid for each service unit without an outlier rate
Create a Prior Authorization Bulk Report (PDF)	Guidance on how to create a report that shows information about more than one PA at a time
FAQs About Children’s Long-Term Support Program (PDF)	Answers to common CLTS CWA and provider questions.
Payments for Children’s Long-Term Support Program Services (PDF)	Information about the two payment options for CLTS Program services

Form	Description
Children's Long-Term Support (CLTS) Waiver Program Timely Filing Claim Exception Request, F-03334	Use this form if ForwardHealth denied your claim for a timely filing denial reason and you want to request an exception to the CLTS Waiver Program’s timely filing policy Click the form title link to go to the Official DHS Forms Library page. Enter F-03334 in the Search Forms field. Complete either the PDF or Word version of the form and submit it to the address listed on the form

User Guide	Description
ForwardHealth Provider Portal Account User Guide, P-00952 (PDF)	Guidance on how to access the Portal
ForwardHealth Provider Portal Institutional Claims User Guide, P-00970 (PDF)	Guidance on how to submit institutional claims on the Portal
ForwardHealth Provider Portal Professional Claims User Guide, P-00970A (PDF)	Guidance on how to submit professional claims on the Portal

Website	Description
Children's Long-Term Support (CLTS) Program: Information for Providers	Information about becoming a CLTS Program provider, payment rates, getting paid, and how to stay up to date about the CLTS Program
Catalog of Trainings and Educational Resources for Providers and Other Stakeholders	Trainings and resources to introduce providers to the Portal under the ForwardHealth Portal Basics/Navigation drop-down menu

CWAs

Factsheet	Description
Assigned Children’s Long-Term Support (CLTS) Operations Representatives by County (PDF)	Map and contact information of CLTS Operations representatives assigned to each Wisconsin county
Children’s Long-Term Support (CLTS) Prior Authorization File Specification (PDF)	Specifications for the prior authorization files CWAs send to ForwardHealth
Children’s Long-Term Support (CLTS) Prior Authorization Inbound File Layout (Excel)	Template for submitting PAs to ForwardHealth
Children’s Long-Term Support (CLTS) Prior Authorization Response File Layout (Excel)	Blank sample of the response file CWAs receive after PAs have been processed
Children’s Long-Term Support (CLTS) Prior Authorization Response File Examples (Excel)	Completed sample of the response file CWAs receive after PAs have been processed
Children’s Long-Term Support Program and Electronic Data Interchange Guidance (PDF)	Guidance about where to submit claims for CLTS Program services
Children's Long-Term Support (CLTS) Program Benefit Code Crosswalk (P-02283)	Guidance on codes and modifiers for CLTS services
Children’s Long-Term Support Program Claim Attachments and Instructions (PDF)	Guidance for when and how to attach documentation to claims for CLTS services
Children’s Long-Term Support Program County Waiver Agency Email Resources (PDF)	Guidance on the most appropriate email resource for CWA CLTS Program questions
Children’s Long-Term Support Program: Multiple Dates of Service on a Claim (PDF)	Guidance for billing multiple dates of service, also known as span billing, on a claim for CLTS services
Children’s Long-Term Support Program Place of Service Codes (PDF)	Table of place of service codes for CLTS services
Children’s Long-Term Support Program Provider Email Resources (PDF)	Guidance on the most appropriate email resource for provider CLTS Program questions
Children's Long-Term Support Waiver (CLTS) Statewide Uniform Rate Schedule (P-02184)	Rates on the CLTS rate schedule represent the maximum amounts that can be paid for each service unit without an outlier rate
County Waiver Agency Prior Authorization Error Checklist (PDF)	Checklist for CWAs to help resolve PA errors
Create a Prior Authorization Bulk Report (PDF)	Guidance on how to create a report that shows information about more than one PA at a time
FAQs About Children’s Long-Term Support Program (PDF)	Answers to common CLTS CWA and provider questions
Federal Procedure Code Limitations on Claims for County Waiver Agencies (PDF)	Guidance for CWAs about the limits on certain procedure codes
Payments for Children’s Long-Term Support Program Services (PDF)	Information about the two payment options for CLTS Program services

Form	Description
Children's Long-Term Support (CLTS) Waiver Program Timely Filing Claim Exception Request, F-03334	Use this form if ForwardHealth denied your claim for a timely filing denial reason and you want to request an exception to the CLTS Waiver Program’s timely filing policy Click the form title link to go to the Official DHS Forms Library page. Enter F-03334 in the Search Forms field. Complete either the PDF or Word version of the form and submit it to the address listed on the form

User Guide	Description
Children’s Long-Term Support Waiver Agency Portal User Guide (PDF)	Guidance on how to access the Portal
Children’s Long-Term Support Waiver Agency Prior Authorization User Guide (PDF)	Guidance on how to submit PAs
ForwardHealth Provider Portal Account User Guide, P-00952 (PDF)	Guidance on how to access the Portal
ForwardHealth Provider Portal Institutional Claims User Guide, P-00970 (PDF)	Guidance on how to submit institutional claims on the Portal
ForwardHealth Provider Portal Professional Claims User Guide, P-00970A (PDF)	Guidance on how to submit professional claims on the Portal

Website	Description
DHS Children's Long-Term Support (CLTS) Program: Information for Providers	Information about becoming a CLTS Program provider, payment rates, getting paid, and how to stay up to date about the CLTS Program
ForwardHealth Catalog of Trainings and Educational Resources for Providers and Other Stakeholders	Trainings and resources to introduce providers to the Portal under the ForwardHealth Portal Basics/Navigation drop-down menu

About | Contact | Disclaimer | Privacy Notice

Wisconsin Department of Health Services

Production PROD_WIPortal2_M1017B__1

Browser Tab ID: 2 -2