Children’s Special Healthcare Services (CSHCS)

Home - Indiana Public Insurance Options - Covered Services and Eligibility Overview - Children’s Special Healthcare Services (CSHCS)

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.

Income Eligibility

  • The gross household income must be less than or equal to 250% of the federal poverty income guidelines. 
            - Household means a group of related or non-related individuals who are not residents of an institution, but who are living as one economic unit. CSHCS defines a pregnant woman as one family member.
The applicant must also be medically eligible to receive services.

Household Size CSHCS Annual Income
  • 1   $ 29,425
  • 2   $ 39,825
  • 3   $ 50,225
  • 4   $ 60,625
  • 5   $ 71,025
  • For each additional member add: $10,400

Medical Eligibility

Children’s Special Health Care Services (CSHCS) is a program to help Indiana children with severe chronic medical conditions which:

  • Have lasted (or are expected to last) at least two years;
  • Will produce disability, disfigurement, or limits the child’s ability to function;
  • Requires special diet or devices; or
  • Without treatment would produce a chronic disabling physical condition.

Some of the physical conditions which may qualify a child for services from CSHCS include:
Apnea
Arthritis
Asthma-Severe, 2 medications daily
Autism
Cerebral Palsy
Chronic Anemia (e.g. Sickle Cell)
Chromosomal Disorders
Chronic Pulmonary Disease
Cleft Lip and/or Palate
Congenital Heart Disease or Arrhythmias
Cystic Fibrosis (life time medical eligibility)
Endocrine Deficiencies (e.g. Diabetics)
Hydrocephalus
Inflammatory Bowel Disease
Inborn Errors of Metabolism (e.g. PKU)
Myelodysplasia or Spinal cord Dysfunction (e.g. Spina Bifida)
Neuromuscular Dysfunction
Oncologic Disorders (e.g. Cancer)
Profound Bilateral Hearing Loss
Renal Disease
Seizure Disorder
Severe Hemophilia
Congenital or acquired developmental deformities was left off of the eligible medical conditions.

What services are available?

  • Diagnostic evaluations
  • Comprehensive well child and sick child care
  • Specialty care and other services related to the eligible medical conditions
  • Immunizations
  • Prescription drugs
  • Routine dental care
  • Community referrals and information
  • Only covering qualifying condition

If you have questions please contact 317-233-1351 or 1-800-475-1355.

How to Apply

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