Medical treatment for CSHCN clients is provided by specialty care physicians who are WV board-certified or board-eligible in their field of practice. All physicians must be enrolled as a provider through the WV Medicaid system. Medical treatment in CSHCN Program sponsored clinics must be provided by specialty care physicians. All physicians participating in the CSHCN clinic system sign a Physician Agreement which describes the responsibilities of the clinician and the rate of reimbursement for the clinician’s services.