CCS Eligibility
A child gets CCS services if the child meets all
four CCS eligibility rules:
1. Age eligible: the child is under 21 years old.
2. Medically eligible: the child has a physical disability or medical condition that is covered by
CCS. This is called having a "CCS eligible condition." CCS covers
many serious health and physical conditions. After careful study of the
information we receive from your child's doctors, we decide if your child has
an eligible condition. Ask us if you have questions.
3. Residentially eligible: the child lives with a parent or guardian who
lives in Los Angeles County. Each county in California has a CCS program, and
if you move to another county, we will help you transfer to that county's CCS
program.
4. Financially eligible:
The child has
Medi-Cal or
Healthy Families or
The family's
adjusted gross income is less than
$40,000 (if
a family earns less than $40,000 but
200% above
the federal poverty level, they will
need to
apply to Medi-Cal and Healthy Families)
The family earns
more than $40,000, but would
spend 20% or
more on medical services for the
child's CCS
eligible condition without CCS.
FEES
Some families may pay:
- An annual
assessment fee of $20 AND
- An enrollment
fee, using a sliding scale based on family income
and size.
| The amount of the enrollment fee depends on how much money a family makes and how big the family is. For example, a family of three earning $40,000 will pay an enrollment fee of $300 plus the $20 assessment fee each year. |
A family in need can ask us to lower or "waive" these fees if there
is financial hardship.
A family will not pay these fees if the child has one of the following:
- "Full-scope
Medi-Cal with no Share Of Cost," which can be:
- 1. Medi-Cal
Managed Care or
- 2.
Fee-for-Service Medi-Cal
- Healthy Families
- Diagnostic services
- CCS Medical Therapy
Program (MTU) services only.
NOTE: A signed application form gives the family legal rights to appeal.
Contact us
Inquires
1-800-288-4584
1-800-924-1154
Hours of Operation (PST): Monday - Friday 8 am - 5 pm
Location
9320 Telstar Ave. Suite #226
El Monte, CA 91731
Email:
ccs@ph.lacounty.gov
