Special Health Services

Serving children with special health care needs and their families.

About Special Health Services

The Division of Special Health Services is located within the Healthy & Safe Communities Section in the North Dakota Department of Health (NDDoH). The purpose of Special Health Services is to provide services for children with special health care needs and their families and promote family-centered, community-based, coordinated services and systems of health-care.

Division Fact Sheet (751kb pdf)

SHS Overview 2017 (538kb ppt)


In 1935, Title V of the Social Security Act authorized federal funding for state Maternal and Child Health programs. It is the key source of support for promoting and improving the health of all the nation's mothers and children, including children with special health-care needs. With the Act, the program known as Crippled Children's Services was established. In July of 1995, the name of the program in North Dakota was changed from Crippled Children's Services to Children's Special Health Services and in October of 2017 the name was changed to Special Health Services.

Since its original authorization in 1935, Title V of the Social Security Act has been amended several times to reflect the increasing national interest in maternal and child health and well-being. One of the major changes occurred in 1981 when Title V converted to a block grant program. This change resulted in the consolidation of seven categorical programs into a single block grant. Another significant change occurred in 1989 with passage of the Omnibus Budget Reconciliation Act (OBRA). OBRA '89 specified new requirements for Title V accountability.

Administrative Staff

 Special Health Services' administrative staff provide leadership and support to state and local partners so they can implement improvements in the health-service system. Primary partners identified by Special Health Services in this effort include families, county social service staff, health-care providers, and related program administrators. A contact list for state Special Health Services staff is listed below:

Kim Hruby
Special Health Services Division Director
Phone: 701.328.4854

Joan Connell, MD
Special Health Services Medical Director
Phone: 701.328.2436

Tammie Johnson
Program Administrator
Phone: 701.328.4669

Tina Feigitsch
Claims & Eligibility Administrator
Phone: 701.328.4816

Heather Kapella
Program Administrator
Phone: 701.328.4814

Jaime Conmy
Medical Claims Service Specialist II
Phone: 701.328.4815

Joyal Meyer
Program Administrator
Phone: 701.328.4534

Amy Burke
Program Administrator
Phone: 701.328.2784

Kelsie Morris
Administrative Assistant II
Phone: 701.328.4532

Denae Tokach
Administrative Assistant I
Phone: 701.328.4812


The Special Health Services Division budget for the 2015-2017 biennium is about $3.1 million. Funding sources include:

Title V Data

The Title V Information System (TVIS) contains qualitative programmatic information and quantitative data collected by 50 states and nine jurisdictions.