The Children/Youth With Special Health Care Needs (shortened as CSHCN or CYSHCN) is a program in each state that provides medical care and other related services for special needs children. These programs are funded by grants from the U.S. Health Resources and Services Administration (HRSA), commonly referred to as Title V, Maternal and Child Health Services Block Grants. Similar to the Children’s Health Insurance Program (or CHIP), the programs are federally funded but operate independently at the state level. It was originally enacted in 1935 as part of the Social Security Act, and converted to a Block Grant Program in 1981.

Who it Serves

The program assists with the cost of medical care specifically for special needs children. The HRSA defines special needs children as “those who have or are at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who also require health and related services of a type or amount beyond that required

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