Skip to main content

Children’s Special Health Care Services

Childrens Special Health Care Services (CSHCS) enables people with special health care needs to have improved health outcomes and an enhanced quality of life through the CSHCS system of care.

Children Special Healthcare Services pictures of logo and children from program

The Macomb County Children’s Special Health Care Services (CSHCS) program reaches out to more than 2,900 clients with more than 2,700 different diagnoses from birth to 26 years-of-age. This includes clients over the age of 26 with Cystic Fibrosis, Sickle Cell, Hemophilia and related coagulation disorders. The program offers a variety of services to clients and families with qualifying diagnosis and children and youth with special health care needs. These services may include assistance with the application process, medical bills, and transportation costs; health care coordination which can include working with your health plan, covering co-pays and deductibles; and assisting your family with access to community resources and services. 

Who can access services?

Residents of Macomb must meet certain guidelines for Children's Special Health Care Services (CSHCS) Programming.

Medical conditions that qualify:

CSHCS covers more than 2,700 physical conditions when certain criteria are met. NOTE: CSHCS does not cover developmental, behavioral or intellectual conditions. Severity, chronicity of the condition and the need for treatment by a specialist as evaluated by a MDHHS medical consultant. List of diagnoses


Children must be under the age of 26. Persons age 26 and above with cystic fibrosis, hereditary coagulation defects commonly known as hemophilia, or hereditary red blood cell disorders commonly known as sickle cell disease may also qualify.


The client, or a parent of the minor client, or court appointed guardian must be one of the following:

  • A U.S. citizen, or
  • A documented non-citizen who has been admitted for permanent residence, or
  • A non-citizen legally admitted migrant farm worker (i.e., seasonal agricultural worker).


  • Must be a Michigan resident


  • CSHCS is available to families with any income level as long as the previous criteria are met.

There is a fee to join CSHCS. This fee is waived if the client has Medicaid, MIChild, a court-appointed guardian or lives in a foster home. The fee is determined with a sliding scale based upon family income and family size.


Existing clients: Make a payment


Contact CSHCS


Southeast Family Resource Center

25401 Harper Ave 

Saint Clair Shores, MI 48081

Call: 586-466-6855 

Family Phone Line: 800-359-3722