Client Supports

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Third Party Resources

A third party resource (TPR) is a source of payment other than the CSHCN Services Program. TPRs include Medicaid, Medicare, CHIP, and private health insurance. CSHCN Services Program funds can only be used after all practical steps have been taken to find and use all TPRs.

Insurance Premium Payment Assistance can help you pay for private insurance, or other health-benefit programs such as the Medicaid Buy-In for Children  program.

Medically Needy Program

All CSHCN Services Program applicants must also apply for Medicaid and the Medicaid Medically Needy Program. You can apply to both programs at

Children's Health Insurance Program (CHIP)

All CSHCN Services Program applicants must also apply for CHIP. To request a CHIP application, call 1-800-647-6558. You can also apply on-line at

Renal Disease

The CSHCN Services Program sometimes pays for renal dialysis, but only after you apply for Medicare.

Insurance Premium Payment Assistance (IPPA)

IPPA pays families back for the cost of their private health insurance (except for CHIP or the Texas High-Risk Pool). 

  • If you are applying for the first time or renewing your application, fill out the Private Insurance Information section. You do not need to apply separately. If you are found eligible, the CSHCN Services Program will contact you.
  • If it is not time for you to renew your application but you have had changes to your other health insurance, please the CSHCN Services Program Help line at 1-800-252-8023 to report changes.

Here’s how it works:

    1. Each month, IPPA clients send us proof of their insurance premium payment.  
      • By fax, toll-free 1-866-409-1188.
      • By mail
        Texas Medicaid & Healthcare Partnership
        PO Box 201120
        Austin, TX 78720-9774
    1. The CSHCN Services Program pays back the amount that covers the client.

To check the status of an IPPA application or payment, call the IPPA Client Helpline at 1-800-440-0493.

Texas Parent to Parent (TxP2P)

TxP2P is a parent network that gives information and support to parent groups around the state. TxP2P finds and shares tools that support family-centered care and effective medical coordination.

Parent/Provider Relations

Parent/Provider Relations (PPR) investigates bills that clients receive from providers. PPR then determines who is responsible for the bill.

The family may be responsible for payment if

  • the client was not eligible at the time of service
  • the family did not notify the provider of CSHCN Services Program coverage
  • the services are not covered by CSHCN Services Program.

To report a bill, send a copy of it to

Texas Medicaid & Healthcare Partnership
Client Correspondence Unit
P.O. Box 202018
Austin, Texas  78720-2018

Send comments or report broken links by e-mail to CSHCN Services Program

Last updated March 21, 2017