The CLTS Waiver was established in 2003 to help families support their children with severe disabilities within their homes.  Wisconsin has three CLTS Waivers for children with developmental disabilities, physical disabilities, and severe emotional disturbances.  The CLTS Waivers are funded through Medicaid and local funding.  They are known as Medicaid Waivers because the federal government “waived” certain regulations so that Medicaid dollars can pay for services in the community.  Funding can be used to support a range of different services based on an assessment of the needs of the child and his or her family.