- Provider Manual
- CSHCS Brochure (English | Spanish)
- CSHCS Provider Agreement Packet
- Provider Agreement
- Individuals Covered Under Provider Agreement
- Schedule B
- Web Portal
- Direct Deposit Form
Electronic Data Interchange/Trading Partner Agreement
CSHCS accepts electronic transactions. If you would like to submit claims electronically, please complete one of each of the forms below.
Please note that after completion of these forms, they must be sent to the Children's Special Health Care Services Program at 2 N. Meridian Street, Section 5C, Indianapolis, IN, 46204; by fax to 1-317-233-1342; or call for an email address. Please do not send directly to the Auditor of State's office.
CSHCS Policy Library
We have created a listing of all policies that are pertinent to our program for participants and providers.
If you have any questions regarding any policy, please feel free to contact a Provider Relations Specialist for clarification at 1-800-475-1355 (in state) or 1-317-233-1351, Option 5.