Written by a parent, not a doctor. Nothing here is medical advice.

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Texas Health and Human Services Commission

Children with Special Health Care Needs Health Care Benefits

What you get

Help with case management, eligible insurance premiums, medical and dental services, medical equipment and supplies, prescription drugs, therapies and transportation and travel support. There is a waitlist right now. Ask to be added.

Who starts it
You, with a letter from your social worker or doctor
How it’s sent
PDF form, sent the way they ask
Your time
About 30 minutes, plus waiting for the letter
Last checked
Aug 27, 2026

Before you start, check you fit

  • Your child is 20 or under.
  • B-ALL alone does not establish enrollment; all chronic-condition, functional-need, financial, residency, and payer rules must be met.
  • The program is active; official materials explain that a waitlist may apply when appropriated funds cannot serve every eligible families.

  1. Ask your social worker or doctor for the letterStart here. This is the part that takes the longest.

    Texas Health and Human Services Commission needs 2 things from your social worker or doctor. It has to cover one thing. Copy this message, or say it in person at the next visit.

    Hi [social worker’s name],

We’d like to apply to Texas Health and Human Services Commission’s Children with Special Health Care Needs Health Care Benefits. They offer help with case management, eligible insurance premiums, medical and dental services, medical equipment and supplies, prescription drugs, therapies and transportation and travel support, and there is a waitlist.

They need 2 things from you or someone on the care team: their part of the form and a letter. The letter has to cover complexity or severity of the qualifying chronic physical condition. Their form and instructions are here: https://www.tmhp.com/client/programs/CSHCN

Could you write that when you have a chance? I’ll bring the printed form to our next visit, or I can email it. Thank you for everything you do for us.

[your name] · [phone]
    Copying is the only thing this page does with your text. Nothing is saved.

  2. Fill in their formPrint it, or fill it in on screen if the PDF allows.

    Open the application PDF ↗ Checked Aug 27, 2026

    What the form asks for

    Family application preparation
    Applicant nameHousehold income and supporting documentsDate of BirthMale / FemaleSocial Security No. if available; CSHCN Client ID NoCitizenship Status; Date of Texas ResidencyHome Address; Mailing Address if different; Home, Work, and Cell Phone No.; Email AddressWhat is your preferred spoken language? Which language would you like written correspondence inWhat sources of income do you have? What is the pay cycle for this source of incomeInformation for each additional person who lives in your house; legal responsibility; authority to speak; relationship; contact information; income source and pay cycleThe applicant is not covered under any medical insurance / The applicant has coverage, which is described belowDoes the applicant have any kind of Medicaid? Does the applicant have Children's Health Insurance Program? Medicaid/CHIP numbers and medical/dental provider namesDoes the applicant have Medicare Parts A, B, C, or D? Medicare (HICN) No. and coverage start datesDoes the applicant have any kind of Medigap or Medicare supplemental coverage? Member ID, plan name, coverage start date, and phoneDoes the applicant have any other health insurance? Insurance provider, employer, policy holder, policy number, coverage start date, monthly premium, and premium-payment help requestCheck here to opt outApplicant Signature and DateAuthorized Representative Signature, Date, Name Printed, and Title
    Provider assessment preparation · your care team fills this in
    Provider Assessment FormApplicant name, Date of Birth, CSHCN ID if known, Initial Application or Application Renewal, and home addressThe applicant meets one of the following definitionsPrimary ICD Code and Description; Additional ICD Codes and DescriptionsWould an inability to get health care cause a permanent increase in disability, pain, suffering or deathInclude any information on complexity or severity of the condition that the CSHCN Services Program should know. Attach additional pages if necessaryServices, other than medical or dental, you think the applicant may requireWas the applicant born before 36 weeks of gestationIs the applicant's condition a result of a traumatic injury or accident? Date of trauma or accidentIs the applicant an infant? If Yes, has the infant spent 14 consecutive days out of the hospital? Date of discharge, if hospitalizedEvaluating provider name, specialty, address, and phone numberSupervising physician name, specialty, NPI, address, and phone number when an APRN or PA signsEvaluating Provider's Signature and Date

    Have ready

    • Proof of birthdate for a first-time applicant.
    • Proof of Texas residency.
    • Proof of income for all household adults; self-employed applicants follow the current tax-return, expense-receipt, and self-employment form instructions.
    • Proof of all applicant medical and dental coverage.

  3. Send it the way they ask

    • Send the completed and signed Form 3031, completed and signed Form 3034, and necessary documents to a CSHCN regional office using the official form instructions.

After you send

Call 800-222-3986 for form help or language services and respond directly to any regional-office request for missing material. If you have not heard back in two weeks, write and ask whether it arrived.

Full record, as published