CYSHCN Outreach Materials

Camp Burnt Gin English Brochure Camp Burnt Gin Spanish Brochure CYSHCN Flyer CYSHCN Brochure

Reimbursement Rates, Authorized Equipment & Supplies, and Fee Schedules

Provider Reimbursement Information Physician Fee Schedule Pediatric Subspecialist Fee Schedule Hearing Services Fee Schedule Orthodontic Fee Schedule Dental Fee Schedule

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)

Provider Lists

Orthotic Prosthetic Provider List