CYSHCN Fliers
Reimbursement Rates, Authorized Equipment & Supplies, and Fee Schedules
- Provider Reimbursement Information (pdf)
- List of durable medical equipment (DME) and medical supplies authorized for purchase (pdf)
- Physician fee schedule (pdf)
- Pediatric subspecialty fee schedule (pdf)
- Hearing Services fee schedule (pdf)
- Orthodontic fee schedule (pdf)
- Dental fee schedule (pdf)
- Hospital fee schedule (inpatient and outpatient) (pdf)
Forms and Manuals
- CYSHCN Services Request Form (DHEC 4290) (pdf)
- CYSHCN Prescription for the Provision of Formula and Nutritional Supplements (DHEC 4006) (pdf)
- Orthodontia Provider Manual (pdf)