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California Children's Services (CCS)

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DISCLAIMER: This material is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it. It is not intended to provide medical advice, diagnosis, or treatment, nor does it replace the advice or counsel of a doctor or health care professional. Reference to a specific commercial product, service, or external web site does not imply endorsement or recommendation of that product, service, or external web site content by CPCMG. We attempt to keep lists of resources and referrals as up to date as possible; however, this information is constantly changing. Please check with the service provider and your insurance company to verify coverage.

Overview

California Children's Services (CCS) is a statewide program administered by the California Department of Health Care Services (DHCS) that provides specialized medical care, diagnostic services, treatment, medical case management, and medical therapy services for children and youth with certain eligible medical conditions. The program helps children receive medically necessary care from CCS-approved specialists and facilities.

Who Is Eligible?

A child or young adult may qualify for CCS if they:

  • Are under 21 years of age

  • Live in California

  • Have a CCS-eligible medical condition

  • Meet financial eligibility requirements or are enrolled in Medi-Cal (depending on the type of CCS service requested)

Note: Financial eligibility is not limited to families with lower incomes. Families with higher incomes may still qualify if the child's out-of-pocket medical expenses for the CCS-eligible condition are expected to exceed a specified percentage of the family's adjusted gross income. Children enrolled in Medi-Cal may also qualify.

Services Provided

Depending on eligibility, CCS may provide or coordinate:

  • Specialty physician services

  • Hospital care and surgery

  • Diagnostic testing

  • Medical case management

  • Medical equipment and supplies

  • Physical therapy

  • Occupational therapy

  • Medical Therapy Program (MTP) services for eligible children with medically eligible orthopedic or neuromuscular conditions

  • Rehabilitation services

Examples of Eligible Medical Conditions

CCS covers many serious chronic, disabling, and life-threatening medical conditions. Examples include:

  • Cerebral palsy

  • Congenital heart disease

  • Cancer

  • Cystic fibrosis

  • Hemophilia and other blood disorders

  • Spina bifida

  • Certain neurological disorders

  • Orthopedic conditions requiring specialized treatment

  • Severe congenital anomalies

  • Chronic kidney disease

  • Diabetes (when CCS eligibility criteria are met)

Medical eligibility is determined by CCS based on established statewide criteria.

Medical Therapy Program (MTP)

The CCS Medical Therapy Program (MTP) provides physical therapy and occupational therapy for children with medically eligible orthopedic or neuromuscular conditions. Unlike other CCS services, financial eligibility is not required for children who qualify for the Medical Therapy Program.

How to Apply

Families may apply by:

  • Contacting their local County CCS office

  • Asking their child's pediatrician or specialist for a referral

  • Being referred by a hospital or another healthcare provider

The local CCS office reviews medical, residential, and financial eligibility before determining enrollment.

📚 References

This content was adapted from:

Reviewed by ME, Behavioral Health Committee, JW MD, Patient Education Committee.