OBJECTIVES: North Carolina’s child service coordination program (CSC), now known as care coordination for children (CC4C), provides access to preventive and supportive primary care services to children at risk or children diagnosed with a qualifying condition of special needs. The objectives of this study were to characterize CSC recipients and to assess whether CSC recipients had greater access to healthcare services in the Medicaid program. METHODS: Medicaid administrative claims data for a random sample of 7,467 births that matched with a Medicaid eligible mother’s record were drawn over a period of two years between October 2008 and September 2010. CSC eligible infants were identified using applicable ICD-9-CM codes.  Infants’ frequency of health service utilization during first year of life was calculated. Descriptive statistics and multivariate negative binomial regression models, controlled for potential confounders, were performed to compare the healthcare service use between qualified CSC and non-CSC infants using SAS statistical software (v9.3) at a priori significance level of 0.05. RESULTS: A total of 636 infants (8.5%) had a reported diagnosis of one of the qualifying conditions. Most frequent diagnoses were other specified suspected condition (59.1%), interpersonal problems (44.8%), family circumstances (32.4%), and health problems within family (22.8%). A majority of qualified infants (n=538, 84.6%) received at least some CSC services at any time during study period. Infants who received CSC had significantly higher number of well-child primary care visits (mean=6.9) compared to those who did not (mean=5.8) (estimated β=0.17, 95%Confidence Interval: 0.06-0.28). Number of emergency room visits and inpatient admissions did not differ significantly. CONCLUSIONS: The results of this study indicate that North Carolina’s CSC program provided care coordination services to a large proportion of infants with special needs. Significantly higher number of well-child visits in the CSC group shows greater access to primary care for needy infants receiving care coordination.