California Children's Services (CCS)
About California Children's Services
California Children's Services (CCS) is a statewide program that arranges, directs, and pays for medical care, equipment, and rehabilitation, when these services are authorized by the program. Services can be authorized for children and young adults less than 21 years of age who have eligible medical conditions and whose families are unable to pay for all or part of their care.
CCS defines eligibility and selects the most qualified professionals to treat the child's CCS-eligible condition. However, it is important for you to know that CCS is not a health insurance program. It will not meet all of the child's health needs, only those related to the CCS-eligible condition.
The Medical Therapy Program (MTP) is a coordinated program of medically necessary physical and occupational therapy services provided to medically eligible children. These services are provided in the Medical Therapy Units (MTUs) located at certain public schools. Therapy may help your child to be independent in such areas as getting around, getting in and out of a wheelchair, walking, feeding, dressing, staying clean and neat, and home skills.
Your child may be eligible if he/she meets all four of the following requirements:
- Age: Your child must be under 21 years of age.
- Residence: Your child must be a permanent resident of the California county where you apply. Your child's residence is usually where you live.
- Income: If your child is not already enrolled in Medi-Cal or the Healthy Families Program, your income must be less than $40,000 per year, according to the adjusted gross income on you California income taxes. A child may be eligible when the family income is more than $40,000 if medical care for the child's CCS condition is expected to cost the family more than 20 percent of the family's yearly income. If your child is adopted and has a CCS eligible conditions at the time of adoption, your income will not matter. There is no financial eligibility requirement for CCS diagnostic services or the CCS Medical Therapy program.
- Medical Conditions: Only certain conditions are eligible for CCS. In general, CCS covers medical conditions that are physically disabling or require medical, surgical, or rehabilitative services.
Conditions covered by CCS include:
- Complications of premature birth requiring an intensive level of care
- Conditions involving the heart (congenital heart disease, Rheumatic heart disease)
- Disabling injuries and poisonings requiring intensive care or rehabilitation (severe head, brain or spinal cord injuries and severe burns)
- Diseases of the blood (hemophilia, sickle cell anemia)
- Diseases of the gastrointestinal system (liver problems, such as biliary atresia)
- Diseases of the genitourinary system (serious kidney problems)
- Diseases of the musculoskeletal system and connective tissue (rheumatoid arthritis, muscular dystrophy)
- Diseases of the nervous system (cerebral palsy, uncontrolled epilepsy/seizures)
- Diseases of the respiratory system (cystic fibrosis, chronic lung disease)
- Diseases of the sense organs (eye problems leading to loss of vision such as glaucoma and cataracts, hearing loss)
- Diseases of the skin and subcutaneous tissue (severe hemangioma)
- Endocrine, nutritional, and metabolic diseases (thyroid problems, PKU, diabetes that is hard to control)
- Medically handicapping malocclusion (severely crooked teeth)
- Neoplasms (cancers, tumors)
- Serious birth defects (cleft lip/palate, spina bifida)
- Severe disorders of the immune system (HIV infection)
If you have any questions about whether your child has any of these conditions, please consult your child's doctor. The list above is made up of common qualifying conditions. If you have a question about additional eligible medical conditions, please contact Placer County CCS at 530-886-3630.
If a potential CCS client is suspected of having a CCS eligible medical condition, but additional tests or studies are needed to confirm the medically eligible condition, the case may be opened for just those studies or tests needed to confirm the presence or absence of the suspected CCS medical condition.
- Doctor services
- Hospital and surgical care
- Laboratory tests
- Medical equipment
- Occupational therapy (OT)
- Orthopedic appliances
- Physical therapy (PT)
Medical Case Management
Medical case management can help access specialty care when medically necessary, and make referrals to other agencies, including public health nursing and regional centers.
Medical Therapy Program (MTP)
The MTP is a special program within CCS that provides physical, occupational , and medical therapy conference services for children who have handicapping conditions generally due to neurological or musculoskeletal disorders.