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Specialty Care Program: Treatment Services

In ND, several programs are available that provide health care coverage for children. Children's Special Health Services (CSHS) is a program specifically for children with special health care needs.

CSHS pays for specialty care that is needed to treat an eligible condition. For example, if a child has been diagnosed with cerebral palsy, specialty care needed to treat that condition would be covered by CSHS. Services that CSHS might help pay for could include visits to a pediatric specialist (the doctor who treats the child's chronic condition), therapies, medications, etc.

To qualify, children must have a CSHS eligible medical condition. CSHS Medical Condition List (75kb pdf).

Families must also meet income eligibility guidelines currently set at 185% of the federal poverty level. Families with incomes over 185% may still be eligible with a cost share. Insurance or other sources of health care coverage are used when available.

Health care visits must be made with a North Dakota Specialist (101kb pdf).

A two-page CSHS Diagnostic and Treatment Services Fact Sheet (89kb pdf) is available for more information.