The Children's Special Health Care Services (CSHCS) program enrolls persons, newborn to 21 years of age, who have a qualifying medical diagnosis which is chronic, severe, and requires treatment by a specialist. Clients with diagnoses of cystic fibrosis and some blood clotting disorders are eligible to be enrolled for life. Over 2700 medical diagnoses are eligible for CSHCS coverage.
Once enrolled, the program provides financial and other support services to assist families in the care of their child. Care coordination services are available to enrolled families, as well as numerous other support and referral services through local and state programs.
This is a state program that offers services locally in each county in Michigan. Families are sent an application after their child is determined eligible through review of medical reports from a medical specialist. Assistance is available through the local office for locating and paying for an evaluation by a pediatric medical specialist for the purpose of determining an eligible diagnosis.
For more information call the family phone line at 1-800-359-3722 or the local office:
Branch and Hillsdale - 517-279-9561 ext. 110
St. Joseph County - 269-273-2161 ext. 209
Children’s Special Health Care Beneficiaries now have several options for Medicaid Health Plans to choose from if they qualify. Not every family on CSHCS will be on a health plan, many are staying on straight or fee-for-service Medicaid. Please check with your pediatrician/family doctor and your specialist(s) to help you make the best decision. If you are currently on a Medicaid Health Plan and are having an issue please try to resolve by calling your health plan. If you cannot resolve the issue, please feel free to call the beneficiary helpline at 1-877-681-7540.
Medicaid Health Plans - All Counties
Meridan Health Plan of Michigan, Inc.
UnitedHealthcare Community Plan
McLaren Health Plan
Hillsdale County only:
Priority Health Government Programs, Inc.
St. Joseph County only:
Aetna Better Health of Michigan