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Indiana State Department of Health

CSHCS Home > Participant Eligibility Participant Eligibility

Program Summary



Extracts from the Enabling Legislation 

Extracts: Title 410, Article 3.2

For Trips to the Health Care Provider 

Travel Reimbursement

Household Income Guidelines

Household Income Table

CSHCS Application

CSHCS Enrollment Packet


Restrictions on Public Benefits Form

Hoosier Healthwise Application



Religious Non-Exemption     

Religious Non-Exemption

Notification of Privacy Practices  




Each participant’s family must also apply for Medicaid.


Participant Manual

Transition Manual


Where to Apply:

Indiana Family & Social Services Administration County Office Locations:

Department of Family Resources

Office Locations(for children age 0 to 3)
Contact the Intake Coordinator listed

Room 1950
705 Riley Hospital Dr.
Indianapolis IN 46202

Other Resources:

  1. 1-855-435-7178 ISDH Family Helpline
  2. 1-800-889-9949 Hoosier Healthwise
  3. 1-800-964-4746 ASK (About Special Kids)
  4. 1-812-855-6508 IIDC Early Childhood Center
  5. 1-800-272-2937 Child Care Answers
  6. 1-800-772-1213 Social Security Income (SSI Disability)
  7. 1-800-545-7763 Vocational Rehabilitative Services
  8. 1-800-332-4433 IN*Source (Parent Information)
  9. 1-800-318-2596 Health Insurance Marketplace
  10. Transition Health Care Financing Options
    CSHCS is committed to providing resource information to those young adults 18 and older for transitional purposes. This is a list of Private and Public Insurance options that may meet your needs. CSHCS does not favor or recommend any one agency or the other. We are simply providing the information.