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Effective July 15th, Health Services for Children with Special Needs (HSCSN) will implement Optum Financial/Optum Pay as the check payment vendor for provider electronic funds transfer (EFT). The details to the provider letter can be found in this document.

List of HSCSN Services

As an HSCSN enrollee, you will have access to the health care services below. For some benefits, you must be a certain age or meet a certain need for the service.

Doctors and Specialists

  • Primary care doctors (your child’s main doctor)
  • Specialists (health care services provided by specially trained doctors and nurses)

Health Care

  • Medical and specialty care
  • Emergency care
  • Dental Care
  • Eye and hearing care
  • Mental health and drug abuse services
  • Pregnancy-related care
  • Preventive health care
  • Rehabilitation services (such as physical, vision or speech therapy)

Health Services

  • Home health care
  • Hospital care in Washington, DC
  • Lab work (such as x-rays and blood work)
  • Medical equipment and supplies
  • Pharmacy services (prescription drugs)

Other Services

  • Transportation services (to and from medical appointments)

If you have a question about whether HSCSN covers certain health care, call Customer Care at (202) 467-2737 or 1 (866) 937-4549.

How to Qualify

Checklist

Learn how to qualify for the HSCSN Health Plan.