About Us

Mother kissing child on the head
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




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)


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.


Grievance, Appeal, and State Hearing Factsheets

English Fact Sheet            Spanish Fact Sheet


Department of Health Care Services – Family Resources
 
https://www.dhcs.ca.gov/services/ccs/Pages/FamilyResources.aspx