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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