Children and Youth with Special Health Care Needs Providers
The Children and Youth with Special Health Care Needs Program provides assistance statewide for individuals from birth to age 21 who have or are at increased risk for a medical condition that may hinder their normal physical growth and development and who require more medical services than children and youth generally. The Program focuses on early identification and service coordination for individuals who meet medical eligibility guidelines. As payor of last resort, the Children and Youth with Special Health Care Needs Program provides limited funding for medically necessary diagnostic and treatment services for individuals whose families also meet financial eligibility guidelines.
As a licensed/certified provider, you are essential to the health and well-being of Missourians with special health care needs.
Want to become a Provider?
If interested in becoming a provider, contact the Special Health Care Needs central office to request an application packet or refer to the “New Provider Enrollment, Re-Enrollment and Provider Address Change Information” section below.
New Provider Enrollment, Re-Enrollment and Provider Address Change Information
Providers must review and complete the Participation Agreement and Provider Application for new enrollment, re-enrollment or when there is a change in their payment mailing address. Additionally, registration is required at MissouriBUYS, powered by MOVERS. In the event of an address change, providers must also update their information in MissouriBUYS, powered by MOVERS. Submit the completed forms via email or mail.
Provider Information
- CYSHCN Service Coordinator Map
- CYSHCN Provider Manual
- CYSHCN Reimbursement Rate Schedule
- Claims Submission Guidelines
The following billing forms should be utilized:
- Health Insurance Claim Form, CMS-1500
- UB-04 (hospitals)
- Dental Claim Form