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Dane County Department of Human Services Provider Hub

Getting Started Providing Children's Long Term Support Services in Dane County


Thank you for your interest in providing assistance to children with long-term support needs and their families. A Medicaid program called the Children’s Long Term Support Waiver (or CLTS for short) pays for these services. The program helps children remain in their home and participate fully in their community. Since a combination of federal, state and local tax dollars fund the program, CLTS providers must complete some mandatory paperwork. The steps to becoming a Dane County CLTS provider are:

1.    Familiarize yourself with Children’s Long Term Support (CLTS) services. 

2.    Notify Dane County, CLTS lead, Angela Radloff or Community Services Manager, Monica Bear of interest in providing CLTS services. Contact:
       Angela:     Radloff.Angela@countyofdane.com / (608) 242-6225 or
       Monica:     bear@countyofdane.com / (608) 242-6438
       Note: Even if your organization has an agreement or contract with another Wisconsin county, you will need a Dane County agreement or contract to do business in Dane County.

3.    Register to do business in Wisconsin. Cost $130. Time: Approximately 30 minutes

  • Most businesses are already registered to do business in Wisconsin. If not, you must become an LLC or some other type of legal business entity. If not already registered, go to Wisconsin Department of Financial Institutions (DFI) website: https://www.wdfi.org/apps/CorpFormation/

4.    Register to provide CLTS services in Dane County on the Wisconsin DHS CLTS Provider registry. No cost. Time: Approximately 30 minutes.

5.    Obtain the right type of insurance to provide CLTS services. Cost:  Varies with insurance provider. Time: Varies depending on insurance provider. 
For contracts over $11,000 per year, there may be a small additional fee to list Dane County as an “additional insured”.

If you plan to do more than $11,000 per year worth of CLTS business per year, your insurance agent will need to provide Dane County with a Certificate of Insurance (COI). This certificate must list Dane County as an “additional insured” (for more information: Additional Insured Requirements). Insurance companies typically charge $100 - $200 for this service. Businesses who have employees based in Wisconsin must provide workers’ comp at Wisconsin statutory limits. Contact bear@countyofdane.com if you have questions.

Depending on the type of service your business provides, you must have at least one of the following:

  • Commercial General Liability at a limit of not less than $1,000,000 per occurrence. Coverage shall include, but not be limited to, Bodily Injury and Property Damage to Third Parties, Contractual Liability, Personal Injury and Advertising Injury Liability, Premises-Operations, Independent PROVIDERs and Subcontractors, and Fire Legal Liability. The policy shall not exclude Explosion, Collapse, and Underground Property Damage Liability Coverage. The policy shall list DANE COUNTY as an Additional Insured.
  • Commercial/Business Automobile Liability (If transport waiver recipients). PROVIDER agrees to maintain Commercial/Business Automobile Liability at a limit of not less than $1,000,000 Each Occurrence. PROVIDER further agrees coverage shall include liability for Owned, Non-Owned & Hired automobiles. In the event PROVIDER does not own automobiles, PROVIDER agrees to maintain coverage for Hired & Non-Owned Auto Liability, which may be satisfied by way of endorsement to the Commercial General Liability policy or separate Business Auto Liability policy.
  • Professional Liability at a limit of not less than $1,000,000 per claim with a $1,000,000 aggregate for all PROVIDER’s professional employees. The coverage shall include Unintentional Errors/Omissions Endorsement. There shall be an extended reporting period provision of not less than two years.
  • Umbrella or Excess Liability may satisfy the minimum liability limits required above for Commercial General Liability and Business Auto Liability under an Umbrella or Excess Liability policy. There is no minimum Per Occurrence limit of liability under the Umbrella or Excess Liability; however, the Annual Aggregate limit shall not be less than the highest “Each Occurrence” limit for the Commercial General Liability and Business Auto Liability. PROVIDER agrees to list DANE COUNTY as an “Additional Insured” on its Umbrella or Excess Liability policy.

6.    Email completed County forms to bear@countyofdane.com   
No cost. Time: Approximately 15 minutes.

Forms include:

Note: Completion of these forms starts the Dane County contracting process. A signed rate schedule is not a contract.

7.    Sign and return CLTS agreement or contract. As noted earlier, contracts will require a certificate of insurance with Dane County as listed as an “additional insured”. 
No cost. Time: Approximately 15 minutes.

  • Provider will receive a Dane County CLTS agreement or contract within approximately 10-14 days of submitting required paperwork.

After signing, E-mail legible, signed contracts or agreements in their entirety to dcdhscontracts@countyofdane.com. If you cannot e-mail a legible document, you may mail your agreement or contract to Dane County Human Services at 1202 Northport Drive, Madison WI, 53704 Attn: Contract Coordination Assistant. Dane County cannot accept and will return illegible or incomplete documents. 

8.    Set up account with WPS, Wisconsin’s CLTS Third Party Administrator (TPA).
No cost. Time: Approximately 30 Minutes.

9.    After receiving all initial CLTS paperwork and registrations, Dane County will add services provided by your business to our CLTS IT system.  Dane County Program Specialist, Eric Linn-Miller Miller.eric@countyofdane.com  / (608) 242-6447 will e-mail service authorizations to your business via Excel Spreadsheet. He will also discuss the process for submitting claims to and receiving payment from WPS Insurance.