Children with Special Health Care

Children with Special Health Care Needs. Title V of the 1935 Social Security Act created Crippled Children's Services (CCS), which became the only source of federal funding for the next thirty years for children with special health care needs. Enactment of Medicaid (Title XIX) in 1965 relieved CCS of many of its reimbursement and direct service provision responsibilities. In 1974, the Supplemental Security Income (SSI) Childhood Disability Program began to provide monthly cash payments to low-income children with disabilities and special health care needs. The Omnibus Budget Reconciliation Act of 1989 (OBRA89) directed state Children with Special Health Care Needs programs (CSHCN, formerly CCS) to develop community-based systems of services and to promote and provide family-centered, community-based, comprehensive, and culturally competent services for children with special health care needs. Thirty percent of the MCH Services Block Grant was to be directed toward this use. Alarmed by the rapidly increasing SSI enrollment, Congress redefined disability, restricted eligibility, and reduced cash assistance to children with disabilities in 1996.

Related Resource: security systems