MedicaidCoverageMedium impact
MMP 24-10: Children’s Special Health Care Services (CSHCS) Eligibility Expansion up to Age 26
Michigan Medicaid - MDHHS·MI · Pediatrics·Enrollment
Effective date
Oct 1, 2023
We identified it
Jun 20, 2026
Summary
Michigan's Children's Special Health Care Services (CSHCS) program expanded eligibility from age 21 to age 26, effective October 1, 2023. The program covers over 2,700 chronic and severe medical diagnoses requiring subspecialist care, with retroactive coverage available up to six months or back to October 1, 2023 for eligible individuals over 21.
Action Required
Immediately: Billing team should verify CSHCS eligibility for patients aged 22-25 with qualifying diagnoses who may now be covered. Update patient eligibility verification procedures to check CSHCS coverage for this expanded age group. Contact existing patients in this age range to inform them of potential retroactive coverage back to October 1, 2023.