Children's Special Health Services (CSHS)

Serving children with special health care needs and their families.

About Children's Special Health Services

The Division of Children's Special Health Services (CSHS) is located within the Community Health Section in the North Dakota Department of Health (NDDoH). The purpose of CSHS is to provide services for children with special health care needs and their families and promote family-centered, community-based, coordinated services and systems of health-care.

Division Fact Sheet (751kb pdf)

CSHS Overview 2017 (538kb ppt)


In 1935, Title V of the Social Security Act authorized federal funding for state Maternal and Child Health programs. It is the key source of support for promoting and improving the health of all the nation's mothers and children, including children with special health-care needs. With the Act, the program known as Crippled Children's Services was established. In July of 1995, the name of the program in North Dakota was changed from Crippled Children's Services to Children's Special Health Services.

Since its original authorization in 1935, Title V of the Social Security Act has been amended several times to reflect the increasing national interest in maternal and child health and well-being. One of the major changes occurred in 1981 when Title V converted to a block grant program. This change resulted in the consolidation of seven categorical programs into a single block grant. Another significant change occurred in 1989 with passage of the Omnibus Budget Reconciliation Act (OBRA). OBRA '89 specified new requirements for Title V accountability.

Administrative Staff

Children's Special Health Services' (CSHS) administrative staff provide leadership and support to state and local partners so they can implement improvements in the health-service system. Primary partners identified by CSHS in this effort include families, county social service staff, health-care providers, and related program administrators. A contact list for state CSHS staff is listed below:

Tamara Gallup Lelm
CSHS Division Director
Phone: 701.328.4814

Joan Connell, MD
CSHS Medical Director
Phone: 701.328.2436

Devaiah Muccatira
MCH Research Analyst - SSDI Coordinator
Phone: 701.328.4963

Tina Feigitsch
Claims & Eligibility Administrator
Phone: 701.328.4816

Tammie Johnson
Program Administrator
Phone: 701.328.4669

Kim Hruby
Program Administrator
Phone: 701.328.4854

Kodi Pinks
Autism Database Administrator
Phone: 701.328.4832

Peggy Masset
Administrative Assistant II
Phone: 701.328.2436

Administrative Assistant I
Phone: 701.328.4812

Medical Claims Service Specialist II
Phone: 701.328.4815


The CSHS Division budget for the 2015-2017 biennium is about $3.1 million. Funding sources include:

Title V Data

The Title V Information System (TVIS) contains qualitative programmatic information and quantitative data collected by 50 states and nine jurisdictions.