California Children's Services

At Pediatrics For All, we believe that every child deserves the best possible medical attention and we are proud of our commitment and in our ability to deliver on that promise.

As we strive to ensure the well being of every child, including treatment of children with certain physical limitations and chronic health conditions or diseases, we are pleased to inform you that Pediatrics For All is a certified provider of the California Children's Services (CCS) program.

 

Being a provider of the CCS program allows us to provide your child with continuous medical attention for a wide range of chronic conditions covered as part of this program.

 

Details about the CCS program can be found below.

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California Children's Services FAQ

What is the California Children's Services program?


California Children’s Services (CCS) is California’s longest running children’s health care program starting in 1927. Holding true to the original doctrine of the program, CCS provides case management for 6,000 Kern County children with qualifying complex medical conditions. Additionally, CCS provides physical and occupational therapy at their clinics located at public schools. CCS children and their families are served by dedicated professionals that include: A Physician, Medical Consultant, Public Health Nurses, Physical and Occupational Therapists, Program Case Managers, and fiscal and clerical support staff.




What does the California Children's Services program offer children?


CCS provides case management and funding for the diagnosis and treatment of qualifying medical conditions. Additionally, through its Medical Therapy Program, physical and occupational therapy are provided at Medical Therapy Units. Case management includes assisting families navigate the health insurance systems, coordinating medical care with specialists and children’s hospitals, as well as helping to solve challenges like transportation and transitions to young adult care.




Who is eligible for Calfornia Children's Services?


Your child may be eligible if he/she meets all four of the following requirements:

  1. Age – Your child must be under 21 years of age.
  2. Income – If your child is not already enrolled in Medi-Cal or the Medi-Cal Targeted Low-Income Children’s Program, your family income must be less than $40,000 per year, according to the adjusted gross income on your California income taxes. A child may be eligible when the family income is more than $40,000 if medical care for the child’s CCS condition is expected to cost the family more than 20 percent of the family’s yearly income.
  3. Residence – You must be a resident of the California county where you apply.
  4. Medical conditions – Only certain medical conditions are eligible for CCS. In general, CCS covers medical conditions that are physically disabling or require medical, surgical, or rehabilitative services.
Examples of Medical Conditions that May Be Covered by CCS More specific criteria may be used to determine if your child’s medical condition is eligible for CCS coverage. Anyone can refer a child to CCS, including parents. All services must be approved ahead of time by CCS and be medically necessary.
  • Conditions involving the heart (congenital heart disease)
  • Neoplasms (cancers, tumors)
  • Disorders of the blood (hemophilia, sickle cell anemia)
  • Endocrine, nutritional, and metabolic diseases (thyroid problems, PKU, diabetes)
  • Disorders of the genito-urinary system (serious chronic kidney problems)
  • Disorders of the gastrointestinal system (chronic inflammatory disease, diseases of the liver)
  • Serious birth defects (cleft lip/palate, spina bifida)
  • Disorders of the sense organs (hearing loss, glaucoma, cataracts)
  • Disorders of the nervous system (cerebral palsy, uncontrolled seizures)
  • Disorders of the musculoskeletal system and connective tissues (rheumatoid arthritis, muscular dystrophy)
  • Severe disorders of the immune system (HIV infection)
  • Disabling conditions or poisonings requiring intensive care or rehabilitation (severe head, brain, or spinal cord injuries, severe burns)
  • Complications of premature birth requiring an intensive level of care
  • Disorders of the skin and subcutaneous tissue (severe hemangioma)
  • Medically handicapping malocclusion (severely crooked teeth) Special screening criteria must be met




What are the benefits of California Children's Services?


The benefits of CCS are:

  • Medical care that the CCS program arranges and funds
  • Assistance in getting to out-of-county medical appointments
  • Therapy for eligible children
Case Management –Case management is determining medical eligibility, identifying your child’s medical needs, and helping you see special doctors and receive services to meet your child’s special health care needs. If your child has Medi-Cal or Healthy Families health care coverage and a CCS-eligible condition, CCS can coordinate your child’s medical care. Diagnostic Services –A diagnostic evaluation to establish the presence of a CCS-eligible condition. CCS teams partner with you to coordinate your child’s medical care. Treatment Services –Treatment services include medical services, medicines, equipment, or supplies that are medically necessary to treat your child’s CCS-eligible condition. Special Care Centers –Special Care Centers provide comprehensive, coordinated health care to CCS clients with specific medical conditions. Medical Therapy Program in Schools – The Medical Therapy Program (MTP) provides medically necessary physical and/or occupational therapy services to eligible children. These services are provided at Medical Therapy Units (MTUs) located in designated public schools.




What are the laws relating to California Children's Services?


California state law and regulations govern the CCS program. The state laws are found in the Health and Safety Code, Welfare and Institutions Code, and the Government Code. The regulations are found in the California Code of Regulations. These laws and regulations can be found in a county law library and on the Internet through the California Department of Health Care Services website.





For more information: State CCS