Children with Special Health Care Needs

Bureau of Special Health Care Needs for Children

Do You Have A Child With Special Needs Our Program May Help You!!

Some Qualifying Conditions

  • brain injury
  • spina bifida
  • cerebral palsy
  • cleft lip and palate
  • cystic fibrosis
  • digestive disorders
  • otitis media (some cases)
  • hearing loss
  • heart disorders
  • hemophilia
  • hydrocephalus
  • neuromuscular disorders
  • orthopedic disorders
  • paraplegia/quadriplegia
  • seizures
  • sickle cell disease
  • spinal cord deformities
  • urinary disorders
  • other conditions may qualify

Service Coordination Available thru Madison County Health Department (573)783-2747 Ext. 3008 or (toll-free) 1-888-351-9175.

This program may assist families in paying for diagnostic and treatment services. Applicants must meet both medical and financial guidelines. For example, in 2014, a family of 4 could qualify with a gross income of $43,568.

This program is for children age birth to 21 years. If you or someone you know are interested in this program, please contact us.

To apply for services, contact a Bureau of Special Health Care Needs Area Office:
Madison County Health Department
806 W. College
Fredericktown, MO 63645
(573) 783-2747 or 1-888-351-9175

Counties covered through Madison County Health Dept: Carter, Crawford, Dent, Howell, Iron, Madison, Oregon, Perry, Reynolds, Ripley, Shannon, St. Francois, Ste. Genevieve, Washington, Wayne

For information on other counties, please call: 1-800-451-0669 or visit

What is Bureau of Special Health Care Needs?

The Children and Youth with Special Health Care Needs (CYSHCN) Program provides assistance statewide for individuals birth to age 21 who meet medical and financial eligibility guidelines. The Program focuses on early identification and service coordination of individuals with special health care needs and their families. Children and youth with special health care needs are those individuals who have, or are at increased risk for a disease, defect or medical condition that may hinder the achievement of normal physical growth and development and who require health and related services of a type or amount beyond that required by individuals in general.


The participant must:

  • Be a Missouri resident
  • Be birth to age 21
  • Have an eligible special health care need (conditions such as Cerebral Palsy, Cystic Fibrosis, Cleft Lip and Palate, Hearing Disorders, Hemophilia, Paraplegia, Quadriplegia, Seizures, Spina Bifida, and Traumatic Brain Injury)
  • Meet financial eligibility guidelines for funded services (family income at or below 185% of the Federal Poverty Guidelines)

Click for Income Guidelines

Services The CYSHCN Program provides two primary services: Service coordination is provided to all participants, regardless of financial status.

  • Outreach/Identification and Referral/Application
  • Eligibility Determination
  • Assessment of Needs
  • Resource identification, referral and access
  • Family support
  • Service Plan Development/Implementation
  • Monitoring and Evaluation
  • Transition/Closure

Limited funding for medically necessary diagnostic and treatment services for participants whose families meet financial eligibility guidelines.

Funded services may include but are not limited to: doctor visits, emergency care, inpatient hospitalization, outpatient surgery, prescription medication, diagnostic testing, orthodontia and prosthadontia (cleft lip/palate only), therapy (physical, occupational, speech and respiratory), durable medical equipment, orthotics, hearing aids, specialized formula, and incontinence supplies.

CYSHCN is payer of last resort. The Service Coordinator will assist the participant/family with resource identification and referral. All third party liability must be exhausted prior to accessing CYSHCN funds.

If you feel your child or children may be eligible for this program please call 573-783-2747 Ext. 3008 or 1-888-351-9175 or download the screener form and bring or mail it to the Madison County Health Dept. 806 West College Ave. Fredericktown, MO 63645

Madison County is a historical community of people who strive to live, work and play in a safe, healthy, environment.


7:00 am - 5:30 pm

Quick Contacts

Madison County Health Department
806 West College
Fredericktown, MO 63645
573-783-1131 24/7
FAX 573-783-8039

We also have a Facebook page for Peer Breastfeeding Support!