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Program History

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Children with Special Health Care Needs (CSHCN) Services Program logo

The Texas Legislature began the Children with Special Health Care Needs (CSHCN) Services Program in 1933. It is the oldest ongoing medical assistance program run by the State of Texas. Helping low income children with special health care needs was a goal from the beginning. Helping adults with cystic fibrosis was added in 1964. The Chronically Ill and Disabled Children (CIDC) program was renamed Children with Special Health Care Needs (CSHCN) Services Program in 1999 when Senate Bill 374 of the 76th Texas Legislature became effective. Today, the Department of State Health Services manages the CSHCN Services Program.

The CSHCN Services Program started two years before the United States Congress passed Title V of the Social Security Act (1935). When Title V passed, the Program became part of Title V. Under Title V, the state receives block grant funding for services to women and children. Title V pays for the following kinds of services:

  • Health care benefits for children
  • Case management for children
  • Some types of public health services to aid all citizens

Title V provides and promotes family-centered, community-based, culturally competent, coordinated health care, and family support services. The CSHCN Services Program recognizes the importance of the family in planning and service delivery. The Program believes in family choice and collaboration among parents and professionals.

The CSHCN Services Program also helps families through special client support services (CSS). The following are important dates in CSS history:

  • In 1995, the Chronically Ill and Disabled Children (CIDC) Program - Medically Needy Program (MNP) was established to identify CIDC clients eligible to apply for Medicaid and to assist those clients with the process.
  • In 1996, the role of CIDC-MNP expanded to include the Parent/Provider Relations (PPR) process of investigating and resolving bills that families receive from providers.
  • In 1997, the role of CIDC-MNP expanded to include Insurance Premium Payment Assistance (IPPA) and Third Party Resource (TPR). At this time the CIDC-MNP changed its name to CIDC - Client Support Services (CSS).
  • In 2000, the role of CSS expanded to identify CSHCN Services Program clients who enrolled in the state's new children's health insurance program, TexCare Partnership's Children's Health Insurance Program (CHIP).
  • In 2001, the role of CSS expanded to include the identification of CSHCN Services Program clients with renal disease, who are in need of renal dialysis and are eligible to apply for Medicare, and to assist those clients with the process.

Send comments, questions, complaints, or broken links by e-mail to CSHCN Services Program

Last updated January 24, 2011