Children and Youth with Special Health Care Needs Program Provider Manual


Non-Covered Services/Supplies/Durable Medical Equipment (DME)

Common supplies, services and DME excluded from CYSHCN Program coverage include, but are not limited to:

  • Cosmetic Procedures/Surgery (performed to reshape normal structures of the body in order to improve the patient’s appearance and self-esteem)
  • Dialysis
  • Diapers/Incontinent Pads (excluded for children under the age of four (4) years)
  • Experimental Treatment
  • Home Health Care (nursing and personal care)
  • Intelligence (IQ) Testing
  • Medications Not Approved by Federal Drug Administration (FDA)
  • Over-the-Counter Medications
  • Organ Transplants
  • Psychological/Psychiatric Evaluation and or Treatment
  • Respite
  • Routine Wellness Exams and Immunizations
  • Vehicles

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