Nurse Case Management Program

The CCS Medical Case Management Program has a team of nurse case managers, medical social workers, and public health assistants who can help:

• Determine if your child meets the medical criteria for the CCS program.
• Determine medical needs of the services requested. These services include office visits, medical supplies, medical equipment, surgery, and other outpatient and inpatient services.
• Provide personal medical case management for your child's CCS eligible condition.
• Work with your child’s health care providers to better coordinate your child’s care.
   

Medical social workers and public health assistants can help:

• Determine eligibility based on family income and where they live.
• Assist with Medi-Cal and other health care insurances.

• Work with other agencies to identify available resources.

• Assist with transportation needs.

• Help families with meals and a place to stay while the child is in the hospital.

• Provide services to help with the transition into adulthood.
• Provide psychosocial support.
   

Services that CCS Medical Case Management Program can help with may include:

• Hospital care and doctor appointments
• X-ray and lab services
• Testing to diagnose any CCS eligible conditions
• Medications
• Medical equipment and supplies
• Home health care
• Physical, occupational and speech therapy
   

All services, except emergencies, must receive prior authorization.

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