Children with Special Health Care Needs


Children with special health care needs are those children 0-21 years of age who have or are expected to have a serious or chronic physical, developmental, behavioral or emotional condition and who also require health and related services of a type or amount beyond that required by children generally. This definition is broader than the definition currently used by the Physically Handicapped Children's' Program (PHCP).

The children with special healthcare needs program (CSHCN) is a state wide public health program that provides information and referral services for health and related areas for families of CSHCN. Warren County's CSHCN program provides case management services as needed. The CSHCN assists families in paying medical bills for children with severe chronic illnesses and/or disabilities, between birth and 21 years of age, who live in New York State and meet medical and financial eligibility requirements


The goal is to identify "gaps" with insurance coverage for children's services i.e. what types of things are not covered by insurance plans and what is the resultant impact on the involved child's health. At this point, the CSHCN Program is additional funding with additional clerical and reporting responsibilities for the county. The PHCP reimbursement mechanism remains unchanged.