California Children's Services (CCS)
Children's Services
What is the California Children’s Services program?
California Children’s Services (CCS) is a statewide program that arranges, directs, and pays for medical care, equipment, and rehabilitation when these services are authorized by the program.
What does the CCS program offer children?
CCS pays for or provides treatment, such as doctor services, hospital and surgical care, physical and/or occupational therapy, laboratory tests, X-rays, orthopedic appliances, and medical equipment as needed for your child’s CCS-eligible condition
Who is eligible for CCS?
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 Healthy Families 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 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.
- the heart
- Neoplasms
- Diseases of the blood
- Diseases of the respiratory system
- Endocrine, nutritional, and metabolic diseases
- Diseases of the genito-urinary system
- Diseases of the gastrointestinal system
- Serious birth defects
- Diseases of the sense organs
- Diseases of the nervous system
- Diseases of the musculoskeletal system and connective tissue
- Severe disorders of the immune system
- Disabling injuries and poisonings requiring intensive care or rehabilitation
- Complications of premature birth
- Diseases of the skin and subcutaneous tissue
- Medically handicapping malocclusion
What are CCS benefits?
The benefits of CCS are medical care services that the CCS program provides directly or arranges to pay the cost of for eligible children.Case Management
Case management is determining medical eligibility, deciding 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.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 in Medical Therapy Units (MTUs) located in public schools.What are the laws relating to CCS?
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. All written decisions will tell you which laws and regulations apply to your child’s case.
Click here for more information regarding California Children's Services.
