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Eligibility

  • Available Services

    Child with doctorFor 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.

      2024 CSHCS Income Guidelines

      Household* Size

      Annual income up to $
      (total before deductions)

      Monthly income up to $
      (total before deductions)

      1

      $37,650

      $3,138

      2

      $51,100

      $4,258

      3

      $64,550

      $5,379

      4

      $78,000

      $6,500

      5

      $91,450

      $7,621

      6

      $104,900

      $8,742

      7

      $118,350

      $9,863

      8

      $131,800

      $10,983

      9

      $145,250

      $12,104

      • 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

    Baby with doctorChildren’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