Medical Home Partnerships-Children and Youth with Special Health Care Needs (CYSHCN)

Wisconsin CYSHCN logo

Promoting quality care for children and youth with special health care needs in Wisconsin.



Coordinated Care in a Medical Home

Children with special health care needs often require more medical care, mental health services or education services than other children. They may be enrolled in multiple state and federal programs for their specific needs, including Medicaid, SCHIP, Social Security Income, early intervention and more. As a result of complex conditions and many providers, families may need help coordinating this care.

The CYSHCN Programs work to assure that children have a primary care provider who serves as a Medical Home, providing comprehensive, family-centered care and helping to coordinate the families' medical and non-medical needs within their community. The Regional Centers provide support and technical assistance to families and providers in strategies to strengthen Medical Homes. The CYSHCN Program and its Regional Centers have supported Medical Home learning collaboratives throughout the state.

Building a Medical Home Partnership: A Wisconsin Toolkit is a Web-based resource for Wisconsin health care providers interested in learning more about family-centered care. The Toolkit contains tested tools and practice strategies recommended by Medical Home teams both nationally and here in Wisconsin.

For more information about Medical Home and to obtain an introductory packet on the Wisconsin Toolkit, contact your Regional Children and Youth with Special Health Care Needs Center. An Introductory Toolkit packet containing a CD-Rom with four of the videos is available in limited quantities. The two Medical Home brochures - Tips for Providers and Tips for Families can be requested through your Regional Center.

National Medical Home Resources

National Center for Medical Home Initiatives for Children and Youth with Special Health Care Needs
American Academy of Pediatrics

Patient-Centered Primary Care Collaborative

American Academy of Family Physicians


Center for Medical Home Improvement

Wisconsin First Step
Information and links to services for children and youth with special needs, their families and providers. Call 800-642-7837 to speak with a parent specialist. Information is available on services such as Birth to 3/early intervention, financial assistance, parent networking and support, home health care, therapy services, CYSHCN Regional Centers and more.

Maternal and Child Health (MCH) Hotline
Information and links to services for pregnant and postpartum women and children. Call 800-722-2295 for information on BadgerCare Plus, WIC, HealthCheck, maternal depression, Prenatal Care Coordination, family planning, developmental screenings, and more.

Last Revised: August 13, 2015