Children with Special Health Care Needs Services Program

The Children with Special Health Care Needs (CSHCN) Services Program helps people 20 and younger who have special health care needs and people with cystic fibrosis of any age improve their health, well-being and quality of life.

Focused on family-centered and community-based strategies, the program ensures families get services that honor and respect their cultural beliefs, traditions and values.

All services must be medically necessary. These include:

  • Medical
  • Mental health
  • Dental
  • Vision
  • Special medical equipment and supplies
  • Family services
  • Community services
  • Case management

If you’re a provider, visit the CSHCN Services Program webpage for providers for more information.

Who is Eligible for Services?

Anyone who:

  • Lives in Texas.
  • Is 20 or younger or any age with a diagnosis of cystic fibrosis.
  • Has an income level at or below 200 percent of the federal poverty level.
  • Has a medical condition that:
    • Is expected to last at least one year.
    • Will limit one or more major life activities.
    • Requires a higher level of health care.
    • Has physical symptoms. Having only a mental, behavioral or emotional condition, or a delay in development won’t qualify.

How Do I Apply?

A social worker can help you with the application process at a public health office near you. To find an office nearby, check the Public Health Regions list and visit your region’s website for a list of local offices.

The following must be submitted:

You may submit application documents to your local office or to the CSHCN Services Program to the fax number or email address in the Contact Us section below. You may also mail your application documents to:

CSHCN Services Program
Eligibility Services
Mail Code 1938
P.O. Box 149030
Austin, TX 78714-9947

If you’re a parent of a child with special health care needs, you must also apply for Medicaid and CHIP benefits for your child.

Contact Us

Texas Medicaid and Healthcare Partnership-CSHCN Services Program Client Line
877-888-2350
8 a.m. to 5 p.m. Central Time
Monday through Friday

Call this number if you:

  • Have questions about services or prior authorizations.
  • Are a current client and were billed by your provider.
  • Are a current client and need a copy of the Client Guide.

Program Helpline
800-222-3986
8 a.m. to 5 p.m. Central Time
Monday through Friday

Call this number if you are:

  • An applicant and have questions about eligibility requirements, don’t have a case manager in your area or need an application.
  • Currently on our waiting list and need case management services.
  • A current client and have questions about renewing your application or family services.
  • A current client and need to report changes to your personal or household information.

Austin Area Phone
512-776-7150

Fax Number
512-206-3988

Email Address
cshcn@hhs.texas.gov

Mailing Address
CSHCN Services Program
Mail Code 1938
P.O. Box 149030
Austin, TX 78714-9947

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