Case Management Program

CCS Medical Case Management Program is a program that has a team of Nurse Case Managers, Medical Social Workers, and Public Health Assistants who can help with:

• Eligibility process
• Navigating health systems
• Information
• Referrals
   

Each child or youth is assigned a Nurse Case Manager who makes sure your child has the right care, at the right time, and at the right place by:

• Determining medical eligibility for CCS
• Coordinating with families
• Consulting specialists at hospitals and clinics 
• Consulting medical supply companies
• Finding medical services
• Making sure services are paid for
   

Medical Social Workers and Public Health Assistants can help with:

• ​Determining financial and residential eligibility for CCS
• Medi-Cal and other health insurance issues
• Consulting with community agencies and resources
• Finding non-medical services (i.e. transportation)
• Transitioning into an adult health care system
   

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

• Hospital Care and doctor appointments
• X-ray and lab services
• Diagnostic testing to determine CCS eligible conditions
• Medications
• Medical equipment and supplies
• Behavioral health (i.e. counseling)
• Home health care
• Physical therapy, occupational therapy, speech therapy, and neuropsychological testing
   

All services, except emergencies, must receive prior authorization.