Indiana Children’s Special Health Care Services (CSHCS) provides supplemental medical
coverage to help families of children who have serious, chronic medical conditions,
age birth to 21 years of age, who meet the Program’s financial and medical criteria,
pay for treatment related to their child’s condition.
Important dates for the closing of Indiana State fiscal year ending June 30, 2018: The Indiana Auditor of State will not issue any payments from June 24-30, 2018. The new fiscal year will begin on July 1, 2018.
The CSHCS Program is now offering access to certain program information via the Internet.
This web portal will allow providers to check participant enrollment and claim status/history
and will also enable providers to print an EOP/Remittance Advice. You may login
to the web portal by clicking on the link below if you have already enrolled. If
you would like to enroll, please click on the Enroll In Cshcs Web Portal link below.
Please note that if you use a billing company, the billing company will NOT be allowed
access to the web portal until the provider has completed the web portal enrollment
form and requested on the form that the billing company have access to their data.
The enrollment form must be completed by the provider.
ATTENTION: YOU MUST HAVE A PRIOR AUTHORIZATION (PA) ON FILE BEFORE RENDERING SERVICES TO CSHCS PARTICIPANTS AND SUBMITTING CLAIMS. FAILURE TO HAVE A PA ON FILE WILL RESULT IN CLAIMS BEING DENIED. THE SERVICE FACILITY LOCATION ON THE CLAIM MUST MATCH THE ADDRESS ON THE PA OR CLAIMS WILL BE DENIED.
Effective February 6, 2017, any prescribed drug with a cost greater than $1,000 will require a PA. Please contact the CSHCS Medical Eligibility/PA Section at 1-800-475-1355 and select option #3.