California Children's Services Program

The California Children’s Services (CCS) Program was established in 1927 and is one of the nation’s oldest public health programs. It was originally created to address the growing polio epidemic.

Today, CCS is a model program that provides children with the access to the best health care, regardless of family income. It provides diagnostic, treatment services, medical case management, and physical and occupational therapy services to children under age 21 years with CCS-eligible medical conditions.

Examples of CCS-eligible conditions include, but are not limited to, chronic medical conditions such as cystic fibrosis, hemophilia, cerebral palsy, muscular dystrophy, spina bifida, heart disease, cancer, traumatic injuries, and infectious diseases producing major sequelae. Families must satisfy specific financial and residential requirements, in addition to medical eligibility.

Approximately 180,000 children and youth under the age of 21 benefit from the program annually. CCS is financed by a combination of federal, state and county funds. CCS physicians and hospitals are carefully screened, credentialed, and held to rigorous standards to protect quality and ensure access to appropriate care. Program nurses provide intensive case management covering all aspects of a child’s care for their CCS condition.

Historically, specialty care for the majority of CCS patients has been carved out of Medi-Cal managed care and services are paid on a fee-for-service arrangement by the State. A CCS patient’s primary care has been provided by a Medi-Cal Managed Care plan.

CCS Redesign


The Department of Health Care Services convened a CCS Stakeholder Advisory Group to look at redesigning the CCS Program with the aim of improved care coordination, reduced fragmentation and controlled costs. In 2015, DHCS recently its Whole Child Model proposal, which proposed to carve-in specialty care to four County Organized Health Systems (COHS) beginning in January 2017. This transition will affect nearly 20% of the CCS population. Recently proposed legislation, SB 586, helps ensure that the re-design of the CCS Programs through the Whole Child Model (WCM) program proceeds smoothly, with adequate safeguards in place to preserve the quality of care CCS-eligible children and youth receive.

Additional Resources

DHCS’s CCS Advisory Group Webpage
DHCS’s Whole-Child Model Webpage 
Stanford Center for Policy Outcomes and Prevention – Reports and Policy Briefs

Department of Health Care Services California Children’s Services Program Site