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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.

Current HSCSN Providers

Current HSCSN Providers

As a participating provider with Health Services for Children with Special Needs, Inc. (HSCSN), you have an important role in delivering quality health care services to our enrollees. Our online resources provide you with access to relevant information and keep you up to date on the latest news from HSCSN.

Questions? Be sure to contact your provider representative for help! Or contact HSCSN Provider Services at 202-495-7526.

Get important updates, view the Provider Manual and Log on to the Provider Portal.

/health-providers/current-providers/resources

Forms for HSCSN requests and referrals.

/health-providers/current-providers/forms

Learn the steps for making claims.

/health-providers/current-providers/claims-codes

Learn about the Prior Authorization process. 

/health-providers/current-providers/prior-authorizations

Find out how to appeal a claim decision.

/health-providers/current-providers/appeals-hearing-unusual-incidents

If you are unhappy with something that happened to you while working with HSCSN, you can file a grievance. Also, find out how to report an unusual incident.

/health-providers/current-providers/grievances

Education and Training

Textbook

HSCSN strives to provide up-to-date clinical information to ensure providers can maintain their knowledge and skills, and the clinical outcomes for their patients.

Learn more