| | | About Us |
| | CALIFORNIA CHILDREN'S SERVICES | | (CCS) 275 Beck Ave, MS 5-175
Fairfield, CA 94533 Email: [email protected]
Phone: 707-784-8650
Toll Free: 1-800-826-3452
Fax: 707-421-7484
Program Description
California Children's Services (CCS) is a countywide program that treats children birth to 21 years of age with certain physical limitations and chronic health conditions or diseases. CCS is not a health insurance program. CCS can authorize and pay for specific medical services and equipment provided by CCS-approved specialists with prior authorization. In addition, CCS offers a medical therapy program that provides occupational and physical therapy services to medically eligible children. CCS will not meet all of your child’s health needs, only those related to the CCS eligible condition.
|  Program Requirement
Eligible medical conditions covered by CCS include conditions that are physically disabling or require medical, surgical, or rehabilitative services. There may also be specific other criteria that help determine if a medical condition is eligible. Listed below are categories of medical conditions that may be covered (with examples of each): | Potentially Eligible Medical Conditions | Examples | | Conditions involving the heart | Congenital heart disease | | Neoplasm | Cancers, tumors | | Disorders of the blood | Hemophilia sickle cell anemia | | Endocrine, nutritional, and metabolic diseases | Thyroid problems, PKU, diabetes | | Disorders of the genito-urinary system | Serious chronic kidney problems | | Disorders of the gastrointestinal system | Chronic inflammatory disease, diseases of the liver | | Serious birth defects | Cleft lip/ palate, spina bifida | | Disorders of the sense organs | Hearing loss, glaucoma, cataracts | | Disorders of the nervous system | Uncontrolled juvenile seizures, Parkinson’s Dystonia | | Disorders of the musculoskeletal system and connective tissues | Rheumatoid arthritis, muscular dystrophy | | Severe disorders of the immune system | HIV infection | | Disabling conditions or poisonings requiring intensive care or rehabilitation | Severe trauma head, brain, or spinal cord injuries, severe burns | | Disorders of the skin and subcutaneous tissue | Severe hemangioma | | Medically handicapping malocclusion | Severely crooked teeth | | Complications of premature birth | Requiring an intensive level of care |
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Program Eligibility |
Medical: | - Child must have a medically eligible condition (see FAQ's) and
| | Residential: | - Child must live in Solano County and
| | Financial: | - Family income must be less than $40,000 or
- Child's out of pocket medical costs are expected to exceed 20% of family's adjusted gross income or
- Child has Medi-Cal or insurance that has appropriately denied a medical treatment.
(There is no financial eligibility requirement for therapy services)
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Information for Providers
CSS can offer providers: - assistance with becoming a CCS approved provider
- help with navigating the CCS/Medi-Cal system
- help with expediting authorizations, claims approval and processing
- information on client eligibility status
- outreach and education
Client Application Process
A CCS referral form can be completed by anyone. However, a CCS application for services must be completed by the child’s parent or legal guardians.
Referrals and applications are accepted by phone, mail, or fax. Please be sure to submit both the referral and the application form.
Read more about the CCS Referral form and the CCS Application.
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