Children's Special Health Care Services
What is Children's Special Health Care Services?Children’s Special Health Care Services (CSHCS) provides supplemental medical coverage to help families of children who have serious, chronic medical conditions, age birth to 21 years of age, who meet the program's financial and medical criteria, pay for treatment related to their child's condition.
Are There Other Names Children’s Special Health Care Services is Known By?The CSHCS program, like other programs, is sometimes referred to by several different names. Families should be aware that the program may be called Children’s, CSHC, Crippled Children’s, or Special Health Care.
Who is Eligible?Eligibility for diagnosis, treatment, and rehabilitative services is based on both medical and financial criteria.
Medical eligibility requires that a child be 21 years of age or younger. There is an exception to the age requirement (no age limit) for an individual with Cystic Fibrosis. The child must have a severe chronic medical condition that:
NOTE: All Indiana children and youth who have special health care needs (CYSHCN) are eligible to receive Care Coordination services through the program. For additional information, contact 317-233-1351; Toll Free 1-800-475-1355, Option 6; or email [email protected]. Financial/Income GuidelinesA family with an income (before taxes) at or below 250% of the federal poverty level may qualify.
What Does CSHCS Cover/Provide?Depending on a family's needs and the child's medical condition, services may include:
NOTE: It is important to remember that all other insurance must be utilized first and the rules of primary insurance policies must be followed before CSHCS will consider payment. All services that CSHCS pays for must be directly related to the eligible medical condition(s) with the exception of routine primary and dental care visits, immunizations, and prescription drugs. For example, for a child with severe asthma, CSHCS may pay for medications needed and visits to a pulmonologist, but it will not pay for treatment for a broken leg. How Do I Apply?Download an application at: https://www.in.gov/health/cshcs/participant-eligibility/. You may call CSHCS Customer Service (317-233-1351 or 1-800-475-1355) to request an application be mailed to you.
To complete the application, you'll need:
How Can I Learn More?More information about the program can be found at https://www.in.gov/health/cshcs/, or by calling CSHCS Customer Service at 317-233-1351 or 1-800-475-1355.
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Programs and systems change often. It is important to ensure that you are using the most current information. Please check https://www.inf2f.org/fact-sheets.html for the most recent edition.
This fact sheet was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $96,750 with 89% percent financed with nongovernmental sources. The contents are those of INF2F and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.
This fact sheet was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $96,750 with 89% percent financed with nongovernmental sources. The contents are those of INF2F and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.
