California Children's Services (CCS)

The CCS Medical Therapy Program is open for telehealth and limited in-person physical therapy and occupational therapy appointments. The Medical Therapy staff are available by calling (408) 793-5900, or you can contact your child’s assigned therapist directly by phone or email.

California Children's Services (CCS) is a program for kids and youth with certain diseases. CCS selects the best services and pays for the care.

CCS may provide

  • Treatment, such as doctor's services
  • Hospital care
  • Surgical care
  • Physical therapy
  • Occupational therapy
  • Testing
  • Medical equipment

CCS program has two parts

CCS eligibility

  • A child or youth can get CCS services if they meet these four requirements:
  1. Birth to age 21
  2. Lives in Santa Clara County
  3. Has a chronic, disabling, or life-threatening medical condition that is a CCS eligible medical condition​ 
  4. Has one of the following:
    1. Family income (AGI-Adjusted Gross Income) of $40,000 or less
    2. Family income (AGI-Adjusted Gross Income) over $40,000 and out-of-pocket medical expenses are expected to be more than 20 percent of the family income (AGI-Adjusted Gross Income)
    3. A need for an evaluation to find out if there is a health problem covered by CCS
    4. Was adopted with a known health problem that is covered by CCS
    5. A need for the Medical Therapy Program (children and youth can get Medical Therapy Program services no matter what their family income is)
    6. Medi-Cal​, with full benefits (Full-Scope or Shared-Of-Cost)

Steps to receiving CCS services

  1. Referral
    1. Anyone can refer a child or youth to CCS (i.e. doctor, parent, teacher, etc.)
  2. Diagnosis
    1.  A doctor identifies that the child or youth may have a CCS eligible medical condition​. The doctor sends a report to CCS for review by the Nurse Case Manager
  3. Application
    1. Family or youth fills out and signs an application for CCS services
      1. ​CCS Application (English)
      2. CCS Application (Spanish)​
  4. ​Case management and care coordination
    1. The CCS Nurse Case Manager assists the child or youth with getting the right care at the right place
  5. Treatment
    1. CCS approves health care services to treat the child's or youth's CCS eligible medical condition. A copy of the approval is mailed to the home of the child or youth. The family/ client can then schedule an appointment for the care that was approved
    2. Each time the child or youth needs to see a new doctor, get a new medication or equipment, a Service Authorization Request form needs to be completed. The medical provider will fill out the Service Authorization Request form and send it to CCS. You will be notified by mail when the services have been approved. You can contact CCS to find out the status of a Service Authorization Request

 

    Anyone can refer your child or youth to CCS (i.e. parent, teacher, soc​ial worker). Most of the time a doctor or health insurance plan will refer your child or youth to CCS.

    You must meet one of the following:

    • Have a family income of $40,000 or less;
    • Your child already has full-scope Medi-Cal;
    • Your medical fees are more than 20% of your family income; or
    • You adopted a child with a known CCS eligible medical condition.

    Children that has an HMO may be eligible for CCS, if the requested services are not a benefit of their HMO. Children with HMOs are eligible for MTU services.​

    CCS can help you find and pay for medical services that may include the following: hospital and physician care; x-ray and laboratory services; medical supplies and equipment; medications; home health care; physical and occupational therapy; orthodontic care; confidential HIV testing and monitoring (All services except emergencies need CCS approval before the services are given).

    There are no fees for children who have full-scope Medi-Cal insurance. Other families may need to pay a small fee based on family size and income.​

    No, autism is not a CCS-covered diagnosis. Current, detailed information on medical eligibility and conditions that are covered can be found on the state medical eligibility web page.​


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