If a person is eligible for Medicaid and the service is covered by Medicaid then Medicaid will pay the claim through either VDP (for drugs) or through the Medicaid Comprehensive Care Program (for items not covered by VDP). Pharmacy providers that want to enroll in the Medicaid Comprehensive Care Program (CCP) should refer to the "Pharmacy Enrollment and Support" section of the Contact Information section.

CSHCN will pay the Medicare Part B co-insurance for people without supplemental drug coverage.

CSHCN will coordinate benefits with Medicare Part D deductibles, co-insurance, and gap coverage.

People enrolled in the CSHCN Services Program may have coverage for prescription drugs through another primary payer.  Pharmacy providers must bill the primary payer first and bill the CSHCN Services Program as secondary payer.  The program will pay drug co-pays, deductibles, and co-insurances.  The program does not qualify as a CMS-defined State Pharmaceutical Assistance Program (SPAP).