What if my child has health insurance coverage with the Healthy Families (HF) Program?

Your child’s HF coverage does not provide payments for services to fully diagnose or treat a CCS eligible medical condition. If your child is suspected of having a CCS eligible medical condition, you will be referred to a special CCS paneled provider who is experienced in diagnosing and treating the suspected eligible medical condition.

Upon approval by CCS, the diagnosis and treatment services will be covered by the CCS program. CCS is a partner with the HF program to provide your child with the specialized medical care needed to treat your child’s CCS eligible medical condition.

You must accept the CCS referral to a CCS paneled or approved provider in order to receive all the benefits of the CCS program. The HF plan remains responsible for providing your child’s primary care, prevention and other treatment services not authorized by the CCS program. You must inform CCS at the time your child’s HF coverage changes or is terminated.

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1. How can I find out if my child has a CCS medically eligible condition?
2. Where do I apply for the CCS program?
3. How will I know if my child is eligible for CCS program benefits?
4. What if my child has health insurance coverage with the Healthy Families (HF) Program?
5. What if my child is Medi-Cal eligible?
6. What if I have private health insurance coverage for my child?
7. Will there be any cost to the family of a CCS client?