Get ready to apply
Montana Department of Public Health and Human Services
Children’s Special Health Services Financial Assistance
What you get
Up to $2,000 a year for evidence-based treatment requested by a medical provider, initial testing and diagnosis, medication and medical equipment, transportation and other enabling services. Ask whether requests are open.
- Who starts it
- You
- How it’s sent
- Email to CSHS@mt.gov
- Your time
- About 30 minutes
- Last checked
- Aug 27, 2026
Before you start, check you fit
- Your child is 21 or under.
- Funding is limited and available only until exhausted.
- Other potential funding sources must be explored or exhausted first.
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What their form asksA preview, so you can gather things first. Fill it in on their site.
Open the application PDF ↗ Checked Aug 27, 2026Send it by email to CSHS@mt.gov.
What the form asks for
Applicant and household informationApplicant’s NameDOBEmail Address (for correspondence)Mailing Address (for correspondence)Does the applicant have insuranceType of insuranceLive in the applicant's primary householdFinancial resources informationWas this submitted to insuranceAny financial resources that have been applied for and/or usedWould you be interested in learning about other financial or support resourcesSpecial health condition information - provider use only · your care team fills this inPlease briefly explain the applicant’s chronic physical, developmental, behavioral, or emotional conditionPlease explain how the above condition(s) require treatment and/or services beyond that required of children and youth generallyMedical DiagnosisMedical Provider SignatureFinancial assistance request informationRequested service(s) and/or item(s), including a detailed description, product link or picture, and estimated costProvider performing the service or where the service will be purchasedCost of estimated servicePlease explain why the service or item is being requested, including how it will help the health outcomes of the applicantHave ready
- Most recent tax returns for every household income earner, subject to the student exception.
- Child's insurance card, front and back.
- Documentation of other financial resources requested or used.
After you send
Complete applications are reviewed within 30 days; contact CSHS if receipt is not confirmed. If you have not heard back by then, write and ask.
