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.

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