CHIP - Highmark Healthy Kids Special Needs and Case Management
What is it?
The CHIP - Highmark Healthy Kids 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 Highmark Healthy Kids.
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
Conditions eligible for disease management include but are not limited to, Asthma, Diabetes, Obesity (Healthy Habits), and Tobacco/Vaping. You can download the pdf’s to learn more about each condition.
You can also learn about ways to build healthy habits with your children in our Family Wellness brochure including healthy eating ideas, exercises for the whole family, improving mental health, and making time for family fun.
The Special Needs and Case Management Program is available free of charge to children enrolled in Highmark Healthy Kids, a CHIP HMO.
Families' Highmark Healthy Kids 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.
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 and/or to one or more of its affiliated Blue companies.
This website is operated by Highmark, Inc. and is not the Health Insurance Marketplace website. It also does not display all Qualified Health Plans available through the Health Insurance Marketplace website. To see all available Qualified Health Plan options, go to the Health Insurance Marketplace website at HealthCare.gov.
Highmark Blue Cross Blue Shield or Highmark Blue Shield are Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. Enrollment in these plans depends on contract renewal.
®Blue Cross, Blue Shield and the Cross and Shield symbols are registered service marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Benefits and/or benefit administration may be provided by or through the following entities, which are independent licensees of the Blue Cross Blue Shield Association: Western and Northeastern PA: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc., Highmark Benefits Group Inc., First Priority Health, First Priority Life or Highmark Senior Health Company. Central and Southeastern PA: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company.
PA: Your plan may not cover all your health care expenses. Read your plan materials carefully to determine which health care services are covered. For more information, call the number on the back of your member ID card or, if not a member, call 866-459-4418.
Delaware: Highmark BCBSD Inc. d/b/a Highmark Blue Cross Blue Shield.
West Virginia: Highmark West Virginia Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Health Insurance Company or Highmark Senior Solutions Company. Visit our website to view the Access Plan required by the Health Benefit Plan Network Access and Adequacy Act. You may also request a copy by contacting us at the number on the back of your ID card.
Western NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Cross Blue Shield.
Northeastern NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Shield.
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