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Children's Special Health Care Services

Indiana Children's Special Health Care Services (CSHCS) provides supplemental medical coverage to help families of children ages birth to 21 years who have serious, chronic medical conditions. The program can help pay for treatment related to the child’s condition for those who meet the program's financial and medical criteria.

  • Available Services

    For eligible applicants, services may include:

    • 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
    • Travel reimbursement
  • Financial Eligibility

    A family with an income, before taxes, no greater than 250% of the federal poverty level may be eligible for the program. The financial level changes every year.

      2023 CSHCS Income Guidelines

      Household* Size

      Annual income up to $
      (total before deductions)

      Monthly income up to $
      (total before deductions)

      1

      $36,450

      $3,038

      2

      $49,300

      $4,108

      3

      $62,150

      $5,179

      4

      $75,000

      $6,250

      5

      $87,850

      $7,321

      6

      $100,700

      $8,392

      7

      $113,550

      $9,463

      8

      $126,400

      $10,533

      9

      $139,250

      $11,604

      • If you are pregnant, count yourself as two (2).
      • For households with more than 8 members, add $9,509 annual income for each additional member.

    *Household means a group of people (related or not) who are living as one economic unit.

    View the full Poverty Guidelines

  • 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 or Acquired Developmental Deformities
    • 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