WebCHILDREN’S SPECIAL HEALTH REQUEST FOR AUTHORIZATION State Form 55653 (8-14) INDIANA STATE DEPARTMENT OF HEALTH CARE SERVICES (CSHCS) The CSHCS Prior Authorization (PA) Unit telephone number is (800) 475-1355, or (317) 233-1351, then select the PA option. WebIndiana Children's Special Health Care Services (CSHCS) provides supplemental medical coverage to help families of children ages birth to 21 years who have serious, … * CSHCS determines financial eligibility by the total gross. Income verification must … CSHCS Eligibility Section at 1-317-233-1351 or 1-800-475-1355, Option 2. … Indiana Children’s Special Health Care Services (CSHCS) provides …
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CHILDREN’S SPECIAL HEALTH CARE SERVICES …
WebThe Children's Special Health Care Services (CSHCS) Program provides travel reimbursement to the parent or guardian of the underage participant or to the participant … WebNov 7, 2024 · CSHCS-approved organizations with responsibility for CMDS clinics must enroll through the online MDHHS CHAMPS Provider Enrollment (PE) subsystem to be reimbursed for clinic fees for services rendered to eligible beneficiaries. Each CMDS clinic must operate under the unique CMDS National Provider Identifier (NPI) held by the … WebCSHCS ENROLLMENT PACKET State Form 49006 (R9 / 2-17) Indiana State Department of Health THIS PACKAGE CONTAINS CONFIDENTIAL INFORMATION PER 410 IAC 3.2-10 AND 410 IAC 3.1-2-18. * This agency is requesting disclosure of your Social Security Number in accordance with 410 IAC 3.2; disclosure is voluntary and you will not be … the pioneer woman 30pc cookware set