CCS

What is California Children's Services (CCS)?

CCS is a statewide program that treats children with certain physical limitations and chronic health conditions or diseases.  CCS can authorize and pay for specific medical services and equipment provided by CCS-approved specialists.  The California Department of Health Services manages the CCS program.

What Medical Conditions Does CCS Cover?

Only certain conditions are covered by CCS.  In general, CCS covers medical conditions that are physically disabling or require medical, surgical, or rehabilitative services.

What Does CCS Offer?

If you think your patient might have a CCS-eligible medical condition, CCS may pay for or provide a medical evaluation to find out if your patient’s condition is covered.

If your patient is eligible, CCS may pay for or provide:

  • Treatment, such as doctor services, hospital and surgical care, physical therapy and occupational therapy, laboratory tests, X-rays, orthopedic appliances and medical equipment.
  • Medical case management to help get your patient special doctors and care, referral to other agencies, or a Medical Therapy Program (MTP), which can provide physical therapy in public schools for children who are medically eligible.
Who Qualifies for CCS?

The program is open to anyone who:

  • is under 21 years old;
  • has or may have a medical condition that is covered by CCS;
  • is a resident of California; and
  • has a family income of less than $40,000 as reported as the adjusted gross income on the state tax form; or
  • the out-of-pocket medical expenses for a child who qualifies are expected to be more than 20 percent of family income; or
  • the child has Healthy Families or Healthy Kids coverage.

Family income is not a factor for children who:

  • need diagnostic services to confirm a CCS eligible medical condition; or
  • were adopted with a known CCS eligible medical condition; or
  • are applying only for services through the Medical Therapy Program; or
  • are Medi-Cal beneficiaries, full scope, no share of cost.
 
Where Can I Get More Information About CCS?

For more information, please contact your contracted Participating Provider Group, L.A. Care’s Utilization Management Department at 1-877-431-2273, or your county CCS office at 1-800-288-4584.