California Children's Services

California Children’s Services (CCS) is a state public health program for children and youth with certain diseases or health problems. 

Through this program, children and youth up to 21 years old who qualify for the program, can get the health care and services they need. CCS helps to connect children with specialists who know how to care for children with special health care needs.

Type of Services CCS Covers 

Each eligible child or youth is assigned a nurse case manager. They can help you find medical services and make sure eligible services are paid for.

These services may include: 

  • Hospital care and doctor appointments
  • X-ray and lab services (for example, blood tests)
  • Medical supplies and equipment, (for example, wheelchairs)
  • Medications to treat the condition
  • Home health care
  • Physical, Occupational, and Speech Therapy
  • In some cases, Orthodontic care
  • Mental Health Services (for example, counseling)
  • Confidential HIV Testing and Monitoring Program for children and youth who are at risk for AIDS
  • Palliative Care
  • Help with transportation to get to appointments
  • Diagnostic Services for children and youth when a doctor thinks they may have a CCS-eligible condition
  • High Risk Infant Follow-Up Program for certain medically fragile infants

All services, except emergencies, must receive prior authorization.

 Case Management

The CCS program provides medical case management, which may include:

  • Determination of medical and program eligibility
  • Authorization of medically necessary services
  • Referral to medical specialists and treatment centers
  • Coordination with other agencies involved with care of the child, such as:
    • Schools
    • Public Health/School Nurses
    • Social Workers

Case management also includes assisting families with establishing CCS services when they move to a new county. Psychosocial needs, such as assisting the family and/or child to cope with the child’s medical condition, may be addressed.

Medical Therapy Program: Occupational and Physical Therapy Services 

Children with physical handicaps who are eligible for the CCS program may receive physical and/or occupational therapy through the                           Medical Therapy Unit (MTU). Therapists specialize in pediatric treatment and equipment issues. The goal of therapy is directed toward attaining maximum function within the limits of the child's capabilities. The Medical Therapy Program is a cooperative effort of state and local departments of health and education. The program accepts children with eligible conditions from birth to age 21. Referrals to the program can be made by parents, private physicians, specialty clinics, school nurses, hospitals, or other agencies. There is no charge for the occupational and physical therapy services. Financial assistance is available, for those that qualify, to help pay for durable medical equipment and bracing needs.

High-Risk Infant Follow-Up

The High-Risk Infant Follow Up (HRIF) Program offers high-risk infants comprehensive developmental evaluations. Infants who are born with a risk factor(s) for physical developmental problems may qualify for this program. The goal is to identify infants and toddlers with delays and refer them for early developmental services to prevent serious physical disability. Financial eligibility is not a requirement of this part of CCS.

Eligibility

A child or youth can get CCS services if they meet these four requirements: 

  1. Birth to Age 21 
  2. Live in Tuolumne County 
  3. Have a chronic, disabling, or life-threatening medical condition that is CCS eligible medical condition (link to eligible conditions)
  4. Have a family income under $40,000 (your adjusted income on the state tax form)

Family Incomes over $40,000

You can still get CCS if:

  •  You have Medi-Cal (full scope, no share of cost)
  • You have Healthy Families insurance
  • Your out-of-pocket medical expenses for your child's care is more than 20% of your family income
  • You only want MTP services
  • You need to see a doctor to check if your child is eligible for CCS; or
  • You adopted your child with a known medical problem that made them eligible for CCS

Transition Planning for CCS Clients and their Families

CCS is here to help prepare you and your family for the transition from pediatric to adult health care services. It’s never too early to start thinking   about your future. As you or your child gets older, it’s important to think about transition planning. Is your child 14, 16, 18, or 20 years old? 

Tuolumne County CCS Grievance Policy

DHCS Grievance, Appeals, and State Hearing Fact Sheet: English  Spanish

Applying for the Program

Please contact Tuolumne County CCS at (209) 533-7401 to apply. 

Additional Resources:

For Families: DHCS.ca.gov

For Providers: DHCS.ca.gov

Children smiling

Emergency Preparedness

Emergencies and disasters can strike quickly and without warning and can force you to evacuate your neighborhood or confine you to your home. Below are links for guidance or assistance.

Preparing for Disaster for People with Disabilities and other Special Needs

For resources and information, visit: https://www.redcross.org/content/dam/redcross/atg/PDF_s/Preparedness___Disaster_Recovery/General_Preparedness___Recovery/Home/A4497.pdf

Plan Ahead for Disasters

Ready.gov is a national public service designed to educate and empower the American people to prepare for, respond to and mitigate emergencies and disasters. The goal is to promote preparedness through public involvement.

Visit www.ready.gov for tips and resources on staying prepared for emergencies. 

Support for Customers Who Depend on Power for Medical Needs 

The Medical Baseline Program is also known as Medical Baseline Allowance. It assists residential customers who depend on power for certain medical needs and provides advanced notice prior to Public Safety Power Shutoffs. Eligibility and application details can be found below.

https://www.pge.com/en/account/billing-and-assistance/financial-assistance/medical-baseline-program.html?cid=ps_resi_goog_all_mbl_20240429&gad_source=1&gclid=CjwKCAjw65-zBhBkEiwAjrqRMNx73Hj_hcYchApz9EnDqTOHquSprCxY64VJJGTvpZ9671aTsOR0oRoCbe4QAvD_BwE