The Department of Health offers a program of special health care services for children

REGION – The Central Michigan District Health Department (CMDHD) Children’s Special Health Care Services (CSHCS) Program is a secondary insurance program designed to support eligible children with chronic conditions and their families. The CSSHCS is also available for adults with cystic fibrosis, sickle cell disease, and bleeding disorders. The CSHCS program helps pay for medical costs not covered by other insurance and is tied to the child’s medical diagnosis. Examples of medical conditions often covered include diabetes, heart disease, kidney disease, birth defects, cystic fibrosis, cleft palate/lip, cancer, and many other serious illnesses or conditions. There are over 2,700 medical conditions that qualify a child for the CSHCS program.

CMDHD staff provide training on the CSHCS in our community to families and physicians, so others can better understand the program and its benefits. There is no income limit to this program; however, there may be a co-payment or payment plan for some families with higher incomes. Families with private health insurance are also eligible for CSSHCS. Our office staff can help any family apply for the program after a child has received an eligible medical diagnosis. Once a person is deemed eligible through a medical history review at the state CSHCS office, local health department staff work with the family throughout the year to assist with any medical support , transportation needs, complex billing issues or overnight stays. away from home are needed for medical treatment.

Our CMDHD staff assisted families in writing emails or phoning insurance companies for assistance in obtaining prior denials for necessary medical care. CMDHD staff are also available to help obtain other necessary items that may not be covered by insurance, such as wheelchair ramps or air conditioners. One family shared how our CSSHC rep helped their family: “The CSSHC rep was very helpful and told me exactly how to write an email to resolve a problem with the U of M. my child at U of M dental had been pre-approved, but the U of M biller didn’t know how to properly treat him. With his help on how to write the email, it helped the billing department complete their process so my child finally got the surgery he needed. This mom will never forget what was done for her child and is grateful to CSHCS and our local CSHCS workers for all they do for our community!

Once a child is registered, staff at the local CSHCS office can help provide:

  • Assistance in obtaining reimbursement for travel and accommodation expenses when visiting doctors out of town
  • Help in finding specialist doctors, hospitals and services specific to child diagnosis
  • Assistance with services for children with special needs that cannot be provided by other publicly funded programs
  • Care coordination, support groups and community services
  • Help find resources specific to family needs
  • CSHCS patient health education
  • Help plan the transition of young people to adult health care

The CSHCS is administered by the State of Michigan, with local representatives assigned to each county health department. For more information, please visit For more information, you can also call the CSHCS Family Center hotline at 1-800-359-3722 or your local health department.

  • Arenac County: (989) 846-6541
  • County Clare: (989) 539-6731
  • Gladwin County: (989) 426-9431
  • Isabella County: (989) 773-5921
  • Osceola County: (231) 832-5532
  • County Roscommon: (989) 366-9166

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