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.
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.
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.
How do I sign up?
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.
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.
Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Highmark Western and Northeastern New York Inc., serves eight counties in Western New York under the trade name Highmark Blue Cross Blue Shield of Western New York and serves 13 counties in Northeastern New York under the trade name Highmark Blue Shield of Northeastern New York. Each of these companies is an independent licensee of the Blue Cross Blue Shield Association. Blue Cross, Blue Shield and the Blue Cross and Blue Shield symbols are registered marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration.
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