CHIP's Special Needs and Case Management

The Caring Program

What is it?

The CHIP Special Needs and Case Management program helps children with serious medical conditions and special health care needs get the care they require — offering free family-centered, community-based care coordination that works to improve the quality of life for children and their parents enrolled in CHIP.

Sign up now by calling 1-866-823-0892.

What does it cover?

Care Coordination

If your enrolled child has a special health condition, our Highmark Case Management team can review your child's health needs to decide how to best support you and your child. We can explain how to manage your child's health, the "what" and "why" of medications, testing, and overall wellness. We can also suggest ways to make getting care easier and share health information and other resources.

Case and Disease Management

Clinical staff and providers work with your child and your family. We provide the personalized care your child needs to create and monitor a plan to help improve their quality of life, achieve health goals, and minimize costs.

Conditions eligible for disease management include:

  • Severe persistent asthma.
  • Type 1 diabetes.
  • Obesity.
  • Tobacco and vape use prevention and cessation.

How much does it cost?

The Special Needs and Case Management Program is available free of charge to children enrolled in the Pennsylvania's Children’s Health Insurance Program (CHIP) in Highmark’s service area.

Families' CHIP benefits or eligibility are NOT impacted by participation in the Special Needs and Case Management Program.

Am I eligible?

You're eligible if your child is enrolled in CHIP and you live in Highmark's service area.

Why should I use it?

The program can benefit children who:

  • Use the health care system much more than their peers.
  • Miss a lot of school due to illness.
  • Have special health care needs that caused parents to cut back or stop working.
  • Require specialized services and therapies, home health services, durable medical equipment, family therapy, early intervention services, special education, or social services.
  • Have severe persistent asthma, type 1 diabetes, obesity, or those who use tobacco or vaping products.
sign up

How do I sign up?

For English

Call the Special Needs and Case Management Program's toll-free number at 1-866-823-0892 if you would like more information on the program or have questions regarding your ability to participate in the program.

For hearing impaired users

Hearing impaired TTY users can call 1-888-697-8695.

For Spanish

Si usted necesita la información en español, llame por favor 1-866-823-0892.

resources

Resources for children with special needs

Educational Resources 

A number of resources are available to help children, families, and educators make the necessary arrangements that can enable the child to receive the best education possible.

You don’t need to be a CHIP member to use these services:

Medical Service Plans for Schools (504)

The Parental Advocate

Early intervention tools 

Children between the ages of 0-5 who have special needs due to a developmental delay or diagnosis are eligible to receive this type of care.

The CONNECT Helpline assists families in locating resources and providing information regarding child development for children ages birth to age 5. CONNECT can assist parents by making a direct link to their county early intervention program or local preschool early intervention program. To make a referral for early intervention, please call the CONNECT Helpline at 1-800-692-7288.