Children and Youth with Special Health Care Needs Program Provider Manual


Non-Covered Conditions

Common childhood illnesses/conditions that would not be eligible for services include, but are not limited to:

  • Abscesses
  • Allergies
  • Backache
  • Colds
  • Constipation
  • Cough
  • Croup
  • Diaper rash
  • Diarrhea
  • Earaches
  • Fever, non-specific
  • General acute illnesses
  • Headache
  • Head lice
  • Hyperopia (Farsightedness)
  • Insect bites and stings
  • Myopia (Nearsightedness)
  • Non-specific rash/dry skin
  • Nose bleeds
  • Pink eye
  • Simple fractures
  • Sore throat
  • Sunburns
  • Tonsillitis
  • Upper respiratory illness

Other ineligible conditions include but are not limited to:

  • Asthma
  • Behavioral Disorders
  • Diabetes
  • Failure to Thrive
  • Malignant Neoplasms
  • Mental Retardation
  • Progressive or Degenerative Neurological Conditions
  • Psychiatric Disorders