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Michigan: Children’s Special Health Care Services (CSHCS)

Insurance InfoChildren’s Special Health Care Services (CSHCS) is a program within the Michigan Department of Health and Human Services. It is for children and some adults with special health care needs and their families.
CSHCS is part of Title V of the Federal Social Security Act.

CSHCS helps persons with bleeding disorders with insurance co-pays and deductibles and, in some cases, may pay for insurance premiums for commercial and/or Medicare plans. Ask your social worker at your Hemophilia Treatment Center or at Cascade for more details.

Who is Eligible for CSHCS?

Several factors determine if a person is eligible for CSHCS.

  1. Qualifying Medical condition: Severity, chronicity of the bleeding disorder and the need for treatment by a specialist is evaluated by a MDHHS medical consultant.
  2. Age: Usually limited to people under 18, all persons regardless of age may qualify if they have certain hereditary bleeding disorders such as hemophilia.
  3. Citizenship: The client, or a parent of the minor client, or court appointed guardian must be one of the following:
    • A US citizen, or
    • A documented non-citizen who has been admitted for permanent residence, or
    • A non-citizen legally admitted migrant farm worker (i.e., seasonal agricultural worker)
    • Must be a Michigan resident


  • Eligibility is not based on income. Families with any income are eligible as long as the previous criteria are met
  • There is a fee to join CSHCS. This fee is waived if the client has Medicaid, MIChild, a court-appointed guardian or lives in a foster home. The fee is determined with a sliding scale based upon family income and family size. Fees begin at $10/month.

For More Information

  • Contact your local county health department CSHCS office
  • Contact our CSHCS Family Phone Line at 1-800-359-3722 or
  • Contact your HTC social worker

Bleeding Disorder Specifics

  • CSHCS may assist with Medicare, COBRA, or Commercial premiums if you are have difficulty meeting the costs. This is dependent on the severity and cost of your bleeding disorder
  • CSHCS only pays for expenses resulting from your bleeding disorder including co-morbidities
  • CSHCS is NOT an insurance plan. It is a program to assist with copays and deductibles and should not be used as a primary insurance policy