Children's Special Health

The Children's Special Health Program (CSHP) is a statewide financial assistance program for uninsured children with a qualifying medical condition(s) requiring long-term multi-disciplinary medical treatment and rehabilitative measures to improve ability to function. CSHP works with families, providers, and communities to ensure access to care that is family-centered, community-based, and culturally sensitive.

About the Children's Special Health Program

Program mission

To enable children with special health care needs to have improved health outcomes and an enhanced quality of life through care coordination assistance to ensure access to care and financial support for continuity of care to achieve health goals.

Who is eligible for CSHP?

Program eligibility and limitations may depend on:

  • Age of child, must be under the age of 18
  • Diagnosis of a qualifying medical condition
  • Residency status, child must be a legal resident of Idaho (per rule, only child must be legal)
  • Family income and size to determine financial eligibility
  • Uninsured children
  • Insured children with cystic fibrosis or PKU
  • Child’s parent/guardian is required to apply for Medicaid before applying for CSHP services
What services are provided?

To ensure access to care, CSHP offers:

  • Financial assistance for pre-approved services
  • Care coordination support by a care coordinator
  • Referrals
Young girl playing with colored shaped blocks
CSHP Application
Print and complete an application for the Children's Special Health Program
CSHP Application Checklist
To help complete your application, follow this checklist

Medical conditions that may qualify

Cardiac
  • Medical care follow-up visits
  • Diagnostic testing and imaging
  • Treatment services
  • Surgical procedures
  • Up to $25,000 annual limit
Craniofacial
  • Medical care follow-up visits
  • Diagnostic testing and treatment services
  • Surgical and orthodontic services
Neurological
  • Medical care follow-up visits
  • Diagnostic testing and treatment services
  • Surgical procedures and therapies
  • Bracing and appliances
  • Up to $12,000 annual limit
Plastic/Burn
  • Medical care follow-up visits
  • Inpatient hospital surgical care by qualified plastic surgeons for burns and for various congenital or traumatic defects of the outer surface of the body requiring correction to obtain or restore physical function.
  • Equipment supplies and physical therapy
  • Up to $15,000 annual limit
Cleft Lip/Palate
  • Medical care follow-up visits and condition-related referral services
  • Up to $15,000
Cystic Fibrosis
  • Medical care follow-up visits and condition-related referral evaluations
  • Diagnostic testing and imaging
  • Medicine and supplement treatments
  • Medical equipment
  • Up to $18,000 annual limit
Orthopedic
  • Medical care follow-up visits
  • Diagnostic testing and imaging
  • Casting, Bracing and other instruments
  • Wheelchair and other equipment
  • Hospitalization for corrective surgical procedures
  • Up to $15,000
Phenylketonuria (PKU): Enrollment in the PKU Program is not restricted if the child has Medicaid or a commercial insurance
  • PHE Monitoring
  • Consults with a Registered Dietician
  • Nutritional assessments
  • Medically prescribed low protein foods ($250 maximum per month) and formula
Overview of Idaho CSHP Conditions

Click here to view a table of the Idaho Children's Special Health Program conditions

Examples of program exclusions for services not eligible
  • Emergency room visits
  • Acute inpatient overnight hospital services
  • Routine pediatric and dental care
  • Respite care
  • Prescription medicines (except cystic fibrosis)
How to apply

The CSHP application is available to download or you may request a copy by emailing IdahoMCH@dhw.idaho.gov

Completed applications with the required supporting documentation (income tax return and Medicaid denial letter) can be faxed to 208-334-4946 or mailed to Children’s Special Health Program, P.O. Box 93720, Boise, ID  83720.

Healthcare transition to adulthood resources

Transitioning to adulthood or the process of becoming an adult, involves new experiences and decisions. Issues like health insurance, finding a doctor who takes care of adults, choosing a work or school setting, transportation and housing present new and sometimes overwhelming challenges.

The Transition Guides on this page provide information and guidance about a very important part of that process — gaining healthcare independence. Parents can learn how to support youth in taking charge of their health care, and youth, teens, and young adults can learn the skills that will prepare them for success. Youth with special health care needs may need more time and practice to reach that goal. Start early and plan ahead!

The links below take you to interactive PDF files of Idaho's Health Care Transition to Adulthood materials. These can be downloaded, filled out electronically and saved. Or, you can fill out the form to receive printed copies of the guides.

Contact Us
Children's Special Health Program
Request printed copies