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Eligibility

Child with doctorFor eligible applicants, services may include:

  • Diagnostic evaluations
  • Comprehensive well child and sick child care
  • Specialty care and other services related to the eligible medical conditions
  • Immunizations
  • Prescription drugs
  • Routine dental care
  • Community referrals and information
  • Travel reimbursement

A family with an income, before taxes, no greater than 250% of the federal poverty level may be eligible for the program. The financial level changes every year.

    2026 CSHCS Income Guidelines

    Household* Size

    Annual income up to $
    (total before deductions)

    Monthly income up to $
    (total before deductions)

    1

    $39,900.00

    $3,325.00

    2

    $54,096.00

    $4,508.00

    3

    $68,304.00

    $5,692.00

    4

    $82,500.00

    $6,857.00

    5

    $96,696.00

    $8,058.00

    6

    $110,904.00

    $9,242.00

    7

    $125,100.00

    $10,425.00

    8

    $139,296.00

    $11,608.00

    9

    $153,504.00

    $12,792.00

    • If you are pregnant, count yourself as two (2).

*Household means a group of people (related or not) who are living as one economic unit.

View the full Poverty Guidelines

Baby with doctorChildren’s Special Health Care Services (CSHCS) is a program to help Indiana children with severe chronic medical conditions which:

  • Have lasted (or are expected to last) at least two years;
  • Will produce disability, disfigurement, or limits the child’s ability to function;
  • Requires special diet or devices; or
  • Without treatment would produce a chronic disabling physical condition.

Some of the physical conditions which may qualify a child for services from CSHCS include:

  • Apnea
  • Arthritis
  • Asthma-Severe, 2 medications daily
  • Autism
  • Cerebral Palsy
  • Chronic Anemia (e.g. Sickle Cell)
  • Chromosomal Disorders
  • Chronic Pulmonary Disease
  • Cleft Lip and/or Palate
  • Congenital or Acquired Developmental Deformities
  • Congenital Heart Disease or Arrhythmias
  • Cystic Fibrosis (life time medical eligibility)
  • Endocrine Deficiencies (e.g. Diabetics)
  • Hydrocephalus
  • Inflammatory Bowel Disease
  • Inborn Errors of Metabolism (e.g. PKU)
  • Myelodysplasia or Spinal cord Dysfunction (e.g. Spina Bifida)
  • Neuromuscular Dysfunction
  • Oncologic Disorders (e.g. Cancer)
  • Profound Bilateral Hearing Loss
  • Renal Disease
  • Seizure Disorder
  • Severe Hemophilia