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Children's Health Care

Day Care Education Program

Child Care Programs at Your Health Department


Training and Consultations for Child Care Centers

Two easy ways to help:

Your Madison County Health Department offers two easy ways to get helpful tips about the health and safety of the young children in your care:

  1. Consultation, free of charge, on-site from a Child Care Health Consultant to help assess your center’s needs, assess your training needs, review immunization records and assist in communicable disease control

  2. Most training is free of charge and is available for childcare staff.

Topics offered include but not limited to:

  • Asthma Management in the Young Child

  • Back to Sleep, Keeping Our Babies Safer

  • Child Passenger Safety

  • Hand Washing for Staff

  • Head Lice Prevention

  • Healthy Habits in Young Children: Nutritional Environment

  • Healthy Habits in Young Children: Physical Activity

  • Heart Attack: Act in Time

  • Injury Prevention in the Child Care Setting

  • Lead Poisoning Prevention for Staff

  • Oral Health

  • Preparing the Immunization Report

  • Ready in 3: Emergency Preparedness

  • Reducing the Risk of Communicable Disease

  • Stress Relief for Staff and Parents

  • Stroke: Know the Signs

  • My Plate for Staff and Children

  • CPR and First Aid Training

Madison County Health Center offers nurse consultant services to child care providers.  Child care providers include daycare centers, Head Start, and licensed and non-licensed homes. These services include trainings for clock hours and other educational services on nutrition, health and safety related issues.  Please call 573-783-2747 ext. 404 for assistance or to schedule an appointment.  Ask questions via email

Children With Special Health Care Needs

Bureau of Special Health Care Needs for Children


Do You Have A Child With Special Needs Our Program May Help You!!

Some Qualifying Conditions:

  • brain injury

  • spina bifida

  • cerebral palsy

  • cleft lip and palate

  • cystic fibrosis

  • digestive disorders

  • otitis media (some cases)

  • hearing loss

  • heart disorders

  • hemophilia

  • hydrocephalus

  • neuromuscular disorders

  • orthopedic disorders

  • paraplegia/quadriplegia

  • seizures

  • sickle cell disease

  • spinal cord deformities

  • urinary disorders

  • other conditions may qualify


Service Coordination Jenny Sikes available thru Madison County Health Department (573)783-2747 Ext. 403 or (toll-free) 1-888-351-9175.


This program may assist families in paying for diagnostic and treatment services. Applicants must meet both medical and financial guidelines. For example, in 2014, a family of 4 could qualify with a gross income of $43,568.

This program is for children age birth to 21 years.


If you or someone you know are interested in this program, please contact us.

To apply for services, contact a Bureau of Special Health Care Needs Area Office:
Madison County Health Department
105 Armory St.
Fredericktown, MO 63645
(573) 783-2747 or 1-888-351-9175


Counties covered through Madison County Health Dept: Carter, Crawford, Dent, Howell, Iron, Madison, Oregon, Perry, Reynolds, Ripley, Shannon, St. Francois, Ste. Genevieve, Washington, Wayne

For information on other counties, please call: 1-800-451-0669 or visit


What is Bureau of Special Health Care Needs?

The Children and Youth with Special Health Care Needs (CYSHCN) Program provides assistance statewide for individuals birth to age 21 who meet medical and financial eligibility guidelines. The Program focuses on early identification and service coordination of individuals with special health care needs and their families. Children and youth with special health care needs are those individuals who have, or are at increased risk for a disease, defect or medical condition that may hinder the achievement of normal physical growth and development and who require health and related services of a type or amount beyond that required by individuals in general.


The participant must:

  • Be a Missouri resident

  • Be birth to age 21

  • Have an eligible special health care need (conditions such as Cerebral Palsy, Cystic Fibrosis, Cleft Lip and Palate, Hearing Disorders, Hemophilia, Paraplegia, Quadriplegia, Seizures, Spina Bifida, and Traumatic Brain Injury)

  • Meet financial eligibility guidelines for funded services (family income at or below 185% of the Federal Poverty Guidelines)

Click for Income Guidelines


Services The CYSHCN Program provides two primary services: Service coordination is provided to all participants, regardless of financial status.

  • Outreach/Identification and Referral/Application

  • Eligibility Determination

  • Assessment of Needs

  • Resource identification, referral and access

  • Family support

  • Service Plan Development/Implementation

  • Monitoring and Evaluation

  • Transition/Closure


Limited funding for medically necessary diagnostic and treatment services for participants whose families meet financial eligibility guidelines.


Funded services may include but are not limited to: doctor visits, emergency care, inpatient hospitalization, outpatient surgery, prescription medication, diagnostic testing, orthodontia and prosthadontia (cleft lip/palate only), therapy (physical, occupational, speech and respiratory), durable medical equipment, orthotics, hearing aids, specialized formula, and incontinence supplies.


CYSHCN is payer of last resort. The Service Coordinator will assist the participant/family with resource identification and referral. All third party liability must be exhausted prior to accessing CYSHCN funds.


If you feel your child or children may be eligible for this program please call Jenny Sikes at 573-783-2747 Ext. 403 or 1-888-351-9175 or download the screener form and bring or mail it to the Madison County Health Dept. 105 Armory St., Fredericktown, MO 63645

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