Texas Health and Human Services Commission
Children with Special Health Care Needs Health Care Benefits · About this organization
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.
How to start
Read through the current official rules. Have proof of income ready.
Good to know
- 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.
The details, as published
The Texas CSHCN Services Program can pay for medical care, prescriptions, equipment, therapies, case management, transportation, and certain insurance costs for eligible Texans under age 21 with a long-term physical condition. Current program materials include treatment used for relapsed or refractory precursor B-cell ALL, but a physician must document the child’s condition and level of need. Financial and payer-of-last-resort rules apply, and enrollment or services may be waitlisted when appropriations are insufficient.
What help you may get
Household Bills And Cash Assistance
Children with Special Health Care Needs Health Care Benefits — household bills and cash assistance
The Texas CSHCN Services Program can pay for medical care, prescriptions, equipment, therapies, case management, transportation, and certain insurance costs for eligible Texans under age 21 with a long-term physical condition. Current program materials include treatment used for relapsed or refractory precursor B-cell ALL, but a physician must document the child’s condition and level of need. Financial and payer-of-last-resort rules apply, and enrollment or services may be waitlisted when appropriations are insufficient.
Amount not published
Can cover
- Case management
- Eligible insurance premiums
- Medical and dental services
- Medical equipment and supplies
- Prescription drugs
- Therapies
- Transportation and travel support
- Award value is not published and may depend on the approved need or available resources.
- The public page does not publish a complete repeat-benefit rule.
Medical And Insurance Costs
Children with Special Health Care Needs Health Care Benefits — medical and insurance costs
The Texas CSHCN Services Program can pay for medical care, prescriptions, equipment, therapies, case management, transportation, and certain insurance costs for eligible Texans under age 21 with a long-term physical condition. Current program materials include treatment used for relapsed or refractory precursor B-cell ALL, but a physician must document the child’s condition and level of need. Financial and payer-of-last-resort rules apply, and enrollment or services may be waitlisted when appropriations are insufficient.
Amount not published
Can cover
- Case management
- Eligible insurance premiums
- Medical and dental services
- Medical equipment and supplies
- Prescription drugs
- Therapies
- Transportation and travel support
- Award value is not published and may depend on the approved need or available resources.
- The public page does not publish a complete repeat-benefit rule.
Navigation Guides And Advocacy
Children with Special Health Care Needs Health Care Benefits — navigation guides and advocacy
The Texas CSHCN Services Program can pay for medical care, prescriptions, equipment, therapies, case management, transportation, and certain insurance costs for eligible Texans under age 21 with a long-term physical condition. Current program materials include treatment used for relapsed or refractory precursor B-cell ALL, but a physician must document the child’s condition and level of need. Financial and payer-of-last-resort rules apply, and enrollment or services may be waitlisted when appropriations are insufficient.
Amount not published
Can cover
- Case management
- Eligible insurance premiums
- Medical and dental services
- Medical equipment and supplies
- Prescription drugs
- Therapies
- Transportation and travel support
- Award value is not published and may depend on the approved need or available resources.
- The public page does not publish a complete repeat-benefit rule.
Practical Items And Home Help
Children with Special Health Care Needs Health Care Benefits — practical items and home help
The Texas CSHCN Services Program can pay for medical care, prescriptions, equipment, therapies, case management, transportation, and certain insurance costs for eligible Texans under age 21 with a long-term physical condition. Current program materials include treatment used for relapsed or refractory precursor B-cell ALL, but a physician must document the child’s condition and level of need. Financial and payer-of-last-resort rules apply, and enrollment or services may be waitlisted when appropriations are insufficient.
Amount not published
Can cover
- Case management
- Eligible insurance premiums
- Medical and dental services
- Medical equipment and supplies
- Prescription drugs
- Therapies
- Transportation and travel support
- Award value is not published and may depend on the approved need or available resources.
- The public page does not publish a complete repeat-benefit rule.
Travel And Transportation
Children with Special Health Care Needs Health Care Benefits — travel and transportation
The Texas CSHCN Services Program can pay for medical care, prescriptions, equipment, therapies, case management, transportation, and certain insurance costs for eligible Texans under age 21 with a long-term physical condition. Current program materials include treatment used for relapsed or refractory precursor B-cell ALL, but a physician must document the child’s condition and level of need. Financial and payer-of-last-resort rules apply, and enrollment or services may be waitlisted when appropriations are insufficient.
Amount not published
Can cover
- Case management
- Eligible insurance premiums
- Medical and dental services
- Medical equipment and supplies
- Prescription drugs
- Therapies
- Transportation and travel support
- Award value is not published and may depend on the approved need or available resources.
- The public page does not publish a complete repeat-benefit rule.
Why this may help
Navigation Guides And Advocacy: Case management helps you arrange services alongside coverage of medical costs.
Practical Items And Home Help: Medical equipment and supplies are included among the covered services.
Check the main eligibility rules
Diagnosis
B-ALL is in scope. Current official provider material expressly includes a drug indication for precursor B-cell ALL, while the child must also meet the program’s chronic-condition and functional-need rules.
Age
Age 0 to age 20, measured at application.
Treatment status
No specific treatment status is published.
- A provider must verify the patient or diagnosis.
- A physician must complete the provider assessment and certify the qualifying physical condition and care needs.
- Medicaid, CHIP, private insurance, and other available payers are used first under payer-of-last-resort rules.
Financial need is required.
- Program household income methodology.
- Spend-down may be available under program rules when income is above the ordinary threshold.
- Program financial eligibility and payer-of-last-resort requirements apply.
Where you live and where your child is treated
Where your family lives
You must live in: TX.
- The child must reside in Texas.
Where your child is treated
No treatment-location restriction is published.
How to get started
Does a social worker or care team need to start it? No. A required care-team start is not published; the family can use the available route below.
Who can start: Parent Or Guardian, Patient
- Review the current official rules.
- Submit the requested information through the published intake route.
- Wait for the program or referring team to confirm the decision or next step.
Ways to apply or ask
- Online Portal · Open form or page
- Online Portal · Open form or page
Documents to prepare
- Condition and medical-need documentation
- CSHCN application
- Income and insurance information
- Provider assessment form
Availability and timing
| Program | Active |
|---|---|
| Applications | Waitlist |
| Funding or space | Limited |
| Application window | Rolling |
| Last checked | Aug 27, 2026 |
- The program is active; official materials explain that a waitlist may apply when appropriated funds cannot serve every eligible applicant.
Limitations and things to confirm
- B-ALL alone does not establish enrollment; all chronic-condition, functional-need, financial, residency, and payer rules must be met.
- Benefits are payer of last resort and may be waitlisted.
- Confirm current intake capacity and any unpublished application documents or benefit limits before referral.
Official sources
Program details were last verified Aug 27, 2026. Availability can change, so check the official program before applying.
- Form 3031 CSHCN Program Application · checked Aug 27, 2026
- CSHCN Services Program · checked Aug 27, 2026
- Client Benefits and Eligibility · checked Aug 23, 2026
- Form 3034 Provider Assessment · checked Aug 27, 2026