CCS is a Medi-Cal program that treats children under 21 years of age with certain health conditions, diseases or chronic health problems and who meet the CCS program rules.
If L.A. Care or your PCP believes your child has a CCS-eligible condition, they will be referred to the CCS county program to check if they qualify.
County CCS program staff will decide if your child qualifies for CCS services. L.A. Care does not decide CCS eligibility.
If your child qualifies to get this type of care, CCS providers will treat him or her for the CCS-eligible condition. L.A. Care will continue to cover the types of service that do not have to do with the CCS condition such as physicals, vaccines and well-child checkups.
L.A. Care does not cover services that the CCS program covers.
For CCS to cover these services, CCS must approve the provider, services and equipment.
CCS does not cover all health conditions.
CCS covers most health conditions that physically disable or need treatment with medicines, surgery or rehabilitation (rehab).
Examples of CCS-eligible conditions include but are not limited to:
- Congenital heart disease
- Cancers
- Tumors
- Hemophilia
- Sickle cell anemia
- Thyroid problems
- Diabetes
- Serious chronic kidney problems
- Liver disease
- Intestinal disease
- Cleft lip/palate
- Spina bifida
- Hearing loss
- Cataracts
- Cerebral palsy
- Seizures under certain circumstances
- Rheumatoid arthritis
- Muscular dystrophy
- AIDS
- Severe head, brain or spinal cord injuries
- Severe burns
- Severely crooked teeth
Medi-Cal pays for CCS services. If your child does not qualify for CCS program services, they will keep getting medically necessary care from L.A. Care.
To learn more about CCS, you can visit the CCS website or call L.A. Care Member Services at 1-888-839-9909 (TTY: 711).