Provider Resources

These resources are for CSHCN Services Program providers. Visit the program client page to learn about the program.

Publications

General Publications

• General Provider Manual (PDF)
• Client Guide (PDF in English)
• Client Guide (PDF in Spanish)
• CSHCN Services Program Newsletter for Families

Publications for Family Services Benefits

• Family Services Provider Manual (PDF)
• Respite Fact Sheet (PDF in English)
• Respite Fact Sheet (PDF in Spanish)
• Vehicle Modification Bid Checklist (PDF)
• Home Modification Request Checklist for Case Managers (PDF)

Forms

General Forms

• Form 3031, CSHCN Services Program Application
• Form 3034, CSHCN Services Program Physician or Dentist Assessment Form
• Vendor Drug Program Prior Authorization Request Forms

Forms for Family Services Benefits

• Form A - Cover Sheet (PDF)
• Form B - Services Request (PDF in English)
• Form B - Services Request (PDF in Spanish)
• Form C - Vehicle Evaluation (PDF)
• Form D - Home Modifications: Written Specifications and Approvals (PDF)
• Form E - Respite Timesheet (PDF in English)
• Form E - Respite Timesheet (PDF in Spanish)
• Form F - Family Documentation for Completed Family Services Training (PDF in English)
• Form F - Family Documentation for Completed Family Services Training (PDF in Spanish)
• Form G - Provider Documentation for Completed Family Services Training (PDF)
• Form H - Home Modifications: Initial Inspection Report (PDF)
• Form I - Home Modifications: Final Inspection Report (PDF)

News

Learn about provider news through TMHP provider bulletins. To receive program updates or news, sign up to receive CSHCN Services Program GovDelivery messages.