CCS Medical Case Management Program is a program that has a team of Nurse Case Managers, Health Services Social Workers, OT/PT Therapy Case Managers, Human Services Specialists, and Office Assistants who assist with:  

• Eligibility process  

• Navigating health systems  

• Information  

• Referrals  
     

Each child or youth is assigned a Nurse Case Manager who makes sure your child has the right care, at the right time, and at the right place by:  

• Determining medical eligibility for CCS  

• Coordinating with families  

• Consulting specialists at hospitals and clinics   

• Consulting medical supply companies  

• Finding medical services  

• Making sure services are paid for  
     

Human Services Specialists, and Office Assistants can assist with:  

• ​Determining financial and residential eligibility for CCS  

• Addressing Medi-Cal and other health insurance issues  

• Processing case transfers  

Health Services Social Workers  support children and families with:  

• Connecting with  community resources  (i.e. food, clothing, shelter)  

• Consulting with community agencies and resources  

• Identifying non-medical services (i.e. transportation, educational support, and employment sources)

• Addressing Medi-Cal and other health insurance issues  

• Navigating case management services at the conclusion of CCS case closures

• Conducting Transitional Planning Assessments to prepare young adults to support their medical needs without CCS case management services

• Requesting mental health information, referrals, and support

Therapy Case Managers are licensed physical or occupational therapists, in a supervisory role who assist with:  

• Reviewing requests for physical and occupational therapy services  

• Reviewing requests for durable medical equipment  

• Reviewing medical eligibility for the CCS Medical Therapy Program  

Services CCS Medical Case Management Program can assist with may include:  

• Hospital Care and doctor appointments  

• X-ray and lab services  

• Diagnostic testing to determine CCS eligible conditions  

• Medications  

• Medical equipment and supplies  

• Home health care

   

All services, except emergencies, must receive prior authorization.  

Call CCS at (619) 528-4000 when

• You have questions about CCS  

• You are having trouble getting medical supplies

• You can’t get in to see a specialist  

• You have questions about your CCS eligibility  

• You have questions about medical insurance, including Medi-Cal and Covered CA  

• You have questions about community resources  

• You need support with services

   

Our administrative staff will direct your call to the best person to assist you.