The Special Care for Special Kids guide was created to provide general information that may assist parents of infants or children with any type of special healthcare need. This guide is meant to help parents start building a ‘medical home’ for their child together with their primary care providers.
The Medicaid Provider Manual contains coverage, billing, and reimbursement policies for Medicaid, Children’s Special Health Care Services (CSHCS), Adult Benefits Waiver, Maternity Outpatient Medical Services (MOMS), and other healthcare programs adminstered by the Department of Health and Human Services.
CSHCS covers approximately 2,600 medical diagnoses that require care by a medical or surgical subspecialist and are handicapping in nature. Diagnosis alone does not guarantee medical elgibility for CSHCS. The individual must also meet the evaluation criteria regarding the level of severity, chronicity, and the need for annual medical care and treatment. This document provides the diagnostic codes that CSHCS covers.
Health care coverage is available to children, adults and families who meet certain eligibility requirements with the goal to ensure that essential health care services are made available to those who otherwise do not have the financial resources to afford them.
This pamphlet provides contact information for some of the Michigan resources and programs available to help families who have children with special needs such as family support services, special health care, early intervention, special education, and financial support.