Plumas County Public Health Agency
California Children's Services

CCS is a State funded medical services program. It provides specialized medical care and rehabilitation for children whose families cannot pay for all or part of their care.

The program is open to anyone who is:

• under 21 years of age; and
• is a California resident; and
• has a medical condition that is eligible for care under CCS; and
• whose family income is less than $40,000 a year (State adjusted gross income) or whose out of pocket medical expenses for the eligible child exceed 20 percent of your family income.

• Diagnostic evaluations. For children suspected of having one of the CCS eligible medical conditions are eligible for free diagnostic services.

• Treatment services for the handicapping condition, including: physician services, hospital and surgical care, physical and occupational therapy, laboratory tests, X-rays, appliances, equipment, and other needed services.

• Medical case management is provided by CCS. It includes: referrals to specialists and centers; follow-up with others involved in care such as schools and other agencies; transferring medical records; locating services when families move; and assisting the family to cope with the child’s condition.

Anyone may refer children to CCS, including the family itself. To obtain services you must:

• complete an application form and return it to CCS by the date given.
• give CCS all of the information requested so the CCS can decide whether a family qualifies.
• apply to Medi-Cal if requested by CCS.

Financial eligibility is based on the family’s adjusted gross income (AGI) as reported on California tax form 540 for the previous tax year. The AGI must be less than $40,000 unless your out-of-pocket expenses for the child’s medical cases are 20% of your income.

An annual Assessment and an annual Enrollment Fee is required by CCS for some families. These fees are used to help cover the cost of treatment, processing applications, and coordinating care/services with doctors, hospitals and other agencies. CCS provides these services even when Medi-Cal or insurance pays for the care.

The annual assessment fee is $20. The annual enrollment fee is based on a sliding scale according to the family’s gross income as reported on federal tax form 1040 for the previous tax year and family size.

If a fee is required, the annual fees are payable within 60 days of the date the family is informed of their fee. Families sign a legal agreement which includes agreement to pay the fee.

If a family is unable to pay the full fee because of undue hardship, the family may ask for a reconsideration. Undue hardship means, for example, the family now has either less income due to unemployment or change in job; or, the family has unavoidable expenditures reducing the ability to pay.

Families who have received payments from insurance companies for services paid by CCS shall reimburse CCS.

Families receiving payments from lawsuits to cover medical care paid by CCS shall reimburse CCS

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