CSHCN Identification Form

Each person is assigned a unique six-digit program ID. These program ID numbers are generated sequentially by the program eligibility system, and appear on the eligibility forms that eligible people should take to the pharmacy. Pharmacy providers should convert the six-digit number to a nine-digit number to submit the claim online.

To convert for claim submission, add the number “9” to the beginning of the core six-digit program ID number, followed by “00” after the core program ID number, as shown below. Failure to correct the cardholder ID prior to transmission will result in NCPDPD error code 52 (“Non-matched Cardholder ID”).

Assigned Program ID Submitted Cardholder ID
123456 912345600