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, Doctor visits and care, hospital referral is complete referral and medical and whose family income is stays, surgery, physical therapy and when the following reports. less than $40,000/yr or whose occupational therapy, tests, X-rays, information is out-of-pocket medical medical equipment, and medical received (captured If eligible, family receives expenses for the eligible child supplies in CCS Referral program application form. will exceed 20% of income. Medical case management to help Form and relevant get special doctors and to refer medical reports): Full application process is Income limits do not apply for you to other agencies, such as Family and child generally completed children who: need diagnostic public health nursing and regional identifying within 60 days after services to confirm a CCS centers information receipt of a complete eligible medical condition; or Medical Therapy Program, which Insurance referral (60 days does not who were adopted with a provides physical therapy and/or information correspond to a known CCS eligible medical occupational therapy in public Name and particular timeline condition; or who are applying school address of requirement) only for services through the Diagnostic evaluations for eligible individual or Medical Therapy Program; or children suspected of having one agency who have Medi-Cal full scope, of the CCS eligible medical requesting no share of cost conditions services Diagnosis Statement of services requested Detailed, relevant medical reports * On June 30, 2011, Assembly Bill 114, Chapter 43, Statutes of 2011 (AB 114) was signed into law. AB 114, several sections of Chapter 26.5 of the California Government Code (GC) were amended or rendered inoperative (including AB2632), thereby ending the state mandate on county mental health agencies to provide mental health services to students with disabilities. With the passage of AB 114, it is clear that school districts are now solely responsible for ensuring that students with disabilities receive special education and related services, including some services previously arranged for or provided by county mental health agencies. More Information:
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) * On June 30, 2011, Assembly Bill 114, Chapter 43, Statutes of 2011 (AB 114) was signed into law. AB 114, several sections of Chapter 26.5 of the California Government Code (GC) were amended or rendered inoperative (including AB2632), thereby ending the state mandate on county mental health agencies to provide mental health services to students with disabilities. With the passage of AB 114, it is clear that school districts are now solely responsible for ensuring that students with disabilities receive special education and related services, including some services previously arranged for or provided by county mental health agencies. More Information:
2.1-FVCA_PL_Chapter2_Handouts_Sept2017.docx