California Children’s Services (CCS) is a Whole Child Program statewide program that determines medical eligibility provides authorizations for medical care, case management, financial assistance, and medically necessary physical and occupational therapy services to children who meet the CCS eligibility criteria. The program is managed by the California Department of Health Care Services (DHCS) and is administered by the local county health care departments.
Who is Eligible For CCS?
Children and young adults who meet the following criteria are eligible for the CCS Program:
Children and young adults from birth to 21 years of age
Diagnosed with a medical condition that is eligible for the CCS Program
Is an Orange County, California resident
Has Medi-Cal, CalOptima, or meets the CCS financial eligibility criteria of family adjusted gross income of less than $40,000 per year, or over $40,000 per year with eligible out-of-pocket medical expenses that exceed 20% of family income
Has a medical condition that is eligible for the Medical Therapy Program (financial eligibility is not required)
Which Medical Conditions Are Eligible?
Eligible conditions include severe physical disabilities resulting from congenital defects or those acquired through disease, accident or abnormal development. Examples include cerebral palsy, cystic fibrosis, cancer, heart conditions and orthopedic disorders.
What Services Are Provided?
Medical Case Management Services CCS Public Health Nurses provide medical case management for complex medical conditions. CCS approved hospitals and CCA-paneled providers are authorized to provide medical care for the CCS eligible medical condition. CCS partners with CalOptima and Medi-Cal to determine medical eligibility and to case manage medical care for children with a CCS eligible medical condition.
Financial Assistance CCS provides financial assistance for children who have a CCS eligible medical condition and whose family meets the CCS financial eligibility criteria.
Medical Therapy Program(Financial Eligibility not required) CCS provides medically necessary physical and occupational therapy services to children with medical conditions that are eligible for the Medical Therapy Program. Examples of conditions that are eligible for these services include cerebral palsy, spina bifida, traumatic brain injury, muscular dystrophy, juvenile rheumatoid arthritis, and other chronic disabilities. These services are provided in Medical Therapy Units located in public school settings throughout the county.
How Are CCS Services Obtained?
Referrals can be submitted by anyone involved with the child's care including physicians, hospitals, nurses, school districts, Regional Center, or the client or family directly.
A referral must include appropriate medical reports to confirm the medical condition, a Service Authorization Request that specifies what services are being requested from CCS, and a signed program application.
The documents should be sent to the Orange County CCS Office:
California Children's Services 200 W. Santa Ana Blvd, Suite 100 Santa Ana, CA 92701 (714) 347-0300 Main (714) 347-0301 Fax
Orange County CCS is a Whole Child Model County. For clients with CalOptima, CCS provides CCS medical eligibility determination and the CalOptima Networks provide all necessary media and DME authorizations. For children with CalOptima, referrals should be sent directly to CalOptima.":
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