Steps to Receiving CCS Services
Step 1: Referral
Anyone can refer a child or youth to CCS, such as the child or youth themselves, parents, caregivers, doctors, and schools.
Step 2: Diagnosis
A doctor identifies that the child or youth may have an eligible medical condition. Examples may include sickle cell disease, cerebral palsy, hearing loss, diabetes, leukemia, and many other serious conditions and disabling injuries. The doctor sends a report to CCS for review by the nurse case manager.
Step 3: Application
Family or youth fills out and signs an application for CCS services.
Step 4: Case Management & Care Coordination
The CCS nurse case manager assists the child or youth with getting the right care at the right place.
Step 5: Treatment
CCS approves health care services to treat the child’s or youth’s eligible medical condition. A copy of the approval is mailed to the home of the child or youth. Then the family/client can schedule an appointment for the care that was approved.
Each time the child or youth needs to see a new doctor, get new medication, or equipment, a Service Authorization Request form (SAR) needs to be completed. The medical provider will fill out the SAR and send it to CCS. You will be notified by mail when the services have been approved. You can contact CCS to find out the status of a SAR.
Payment for Services
CCS authorizes and pays for services related to a child’s or youth’s medical condition. CCS is not a health insurance program. However, CCS covers services that are not otherwise covered by Medi-Cal or private insurance. Learn more about financial eligibility
There is no financial eligibility for the CCS Medical Therapy Program (MTP).
Each time the child or youth needs to see a new doctor, get new medication, or equipment, a Service Authorization Request form (SAR) needs to be completed. The medical provider will fill out the SAR and send it to CCS. You will be notified by mail when the services have been approved. You can contact CCS to find out the status of a SAR. Look at this guide in English and Spanish to learn more: How to Read a SAR