Children who are Medi-Cal eligible and have approved California Children Services (CSS) medical condition are usually eligible for CCS case management and other services not covered by Medi-Cal. This assures that all California children with complex, disabling conditions will receive appropriate specialized care.
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Anyone may refer a child to California Children Services (CSS) - Community Health/school nurses, other agencies, or the family itself to determine if the child has an approved CCS medically eligible condition. Most children are referred by the family physician, specialist or hospital. The physician or hospital can supply important medical information necessary in making the CCS medical eligibility determination and may also participate in the child's CCS treatment program. Contact us at 530-265-1450 for any further questions.
You should apply for the California Children Services (CSS) program at your local CCS office in the county where you reside. This office should be contacted for assistance as requests for CCS coverage must be made on or before the day services are rendered, except for emergencies. Your county CCS office can tell you if your child may be eligible for the CCS program. CCS eligibility must be determined before services can be covered by CCS.
The County CCS office or the appropriate State Regional Office will consider your child's medical condition as well as the family's residential and financial status to determine CCS eligibility. This is accomplished by completing the necessary application forms and providing the required documentation. Based on this information and completed paperwork the CCS program will approve or deny your application. If your application is denied, you have the right to appeal the decision. For further questions, call us at 530-265-1450.
Your child can be eligible for the California Children Services (CSS) program even though you have private health insurance coverage. If your child is a CCS applicant/client and has individual or group private health insurance coverage, you must report it to the county CCS office and to the child's health care provider. Private health insurance entitlement is used to help reduce CCS program costs.
Some families may be required to pay an annual assessment fee and / or annual enrollment fee. These fees are used to help cover the cost of treatment, processing applications, telephoning hospitals, physicians and other caregivers, mailing authorizations to these caregivers, and coordinating care with other agencies. All of these services are provided by the California Children Services program to ensure that clients receive the best care possible from physicians and specialists who provide medical care to children. The annual assessment fee is $20 and the annual enrollment fee is calculated based on family and income size. contact us at 530-265-1450 for further questions.