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The thousands of participants served by the various programs administered by the Indiana State Department of Health are fortunate to have the participation of excellent health care providers across the wide spectrum of medical specialties. Their significant contribution to the well being of this sector of Indiana's population is appreciated.
Getting the flu vaccine is the best way to prevent flu. For children younger than 5 years of age and those with chronic health conditions, like asthma and neuro-developmental disorders, getting the flu vaccine is especially important to avoid serious flu complications like pneumonia, which can lead to hospitalization and even death. Please join us in encouraging everyone to get vaccinated. Remember the flu ends with you!
Below are links to brochures that have specifically been developed for parents of typical children and also children with chronic medical conditions, including children with special health care needs. Please distribute and forward these as you feel are appropriate.
Provider Agreement Packet - Please make sure to include a Web Portal Enrollment form, found below. Explanation of Payment (EOP) notices and enrollment information is only available by using this portal.
Individual forms for CSHCS Provider Use:
Please note that after completion of this form, it must be sent to the Children's Special Health Care Services program at 2 N. Meridian Street, Section 5C, Indianapolis, IN, 46204 or by fax to 1-317-233-1342. Please do not send directly to the Auditor's office.
Electronic Data Interchange/Trading Partner Agreement:
The Children's Special Health Care Services program accepts electronic transactions. Please see EDI Solutions link above for more information.