been hospitalized recently for See other services under Regional mental health problems. Centers and School Districts* California Children’s Ages Open to children under the If the child has a special health Referrals are made Medical eligibility is Services 0-21 age of 21 who have a serious problem that is covered by CCS, by the child’s determined within 5 days medical condition that is then CCS may pay for or help with: physician. The of receipt of complete Website: eligible for care under CCS, referral is complete referral and medical Doctor visits and care, hospital and whose family income is when the following reports. stays, surgery, physical therapy less than $40,000/yr or whose information is and occupational therapy, tests, out-of-pocket medical received (captured If eligible, family receives X-rays, medical equipment, and expenses for the eligible child in CCS Referral program application form. medical supplies will exceed 20% of income. Form and relevant Medical case management to help medical reports): Full application process is get special doctors and to refer Income limits do not apply for generally completed Family and child you to other agencies, such as children who: need diagnostic within 60 days after identifying public health nursing and regional services to confirm a CCS receipt of a complete information centers eligible medical condition; or referral (60 days does not Insurance Medical Therapy Program, which who were adopted with a correspond to a information provides physical therapy and/or known CCS eligible medical particular timeline occupational therapy in public Name and condition; or who are applying requirement) school address of only for services through the individual or Diagnostic evaluations for eligible Medical Therapy Program; or agency children suspected of having one who have Medi-Cal full scope, requesting of the CCS eligible medical no share of cost services conditions Diagnosis Statement of services requested Detailed, relevant medical reports
been hospitalized recently for mental health problems. See other services under Regional Centers and School Districts* California Children’s Services Website: Ages 0-21 Open to children under the age of 21 who have a serious medical condition that is eligible for care under CCS, and whose family income is less than $40,000/yr or whose out-of-pocket medical expenses for the eligible child will exceed 20% of income. Income limits do not apply for children who: need diagnostic services to confirm a CCS eligible medical condition; or who were adopted with a known CCS eligible medical condition; or who are applying only for services through the Medical Therapy Program; or who have Medi-Cal full scope, no share of cost If the child has a special health problem that is covered by CCS, then CCS may pay for or help with: Doctor visits and care, hospital stays, surgery, physical therapy and occupational therapy, tests, X-rays, medical equipment, and medical supplies Medical case management to help get special doctors and to refer you to other agencies, such as public health nursing and regional centers Medical Therapy Program, which provides physical therapy and/or occupational therapy in public school Diagnostic evaluations for eligible children suspected of having one of the CCS eligible medical conditions Referrals are made by the child’s physician. The referral is complete when the following information is received (captured in CCS Referral Form and relevant medical reports): Family and child identifying information Insurance information Name and address of individual or agency requesting services Diagnosis Statement of services requested Detailed, relevant medical reports Medical eligibility is determined within 5 days of receipt of complete referral and medical reports. If eligible, family receives program application form. Full application process is generally completed within 60 days after receipt of a complete referral (60 days does not correspond to a particular timeline requirement)
FVCA_PL_Chapter2_Handouts_Mar2016.docx