Systems and Standards Issue Briefs
March 18, 2021

California Children’s Services Whole Child Model Implementation

By: Children’s Regional Integrated Service System (CRISS)

Care for children with special health care needs in California has long been managed by California Children’s Services (CCS), a state-level program that operates at the county level. In 2018 the state Department of Health Care Services turned over responsibility for CCS activities to Medi-Cal managed care organizations in 21 counties under a new program called the Whole Child Model (WCM). The Children’s Regional Integrated Service System (CRISS), a collaborative of family support organizations, pediatric hospitals and provider groups, and 28 county CCS programs in Northern California, has closely monitored the implementation of the WCM and identified potential strategies to address issues and concerns raised by families, plans, providers, and CCS county agencies.

CRISS developed a series of issue papers on the following topics:

  • Case Management/Authorizations
  • Responsibility for Neonatal Intensive Care Unit (NICU) Services
  • Maintenance and Transportation
  • Responsibility for High Risk Infant Follow-up Program
  • Responsibility for Medical Documentation for CCS Initial and Annual Redetermination

Read the issue briefs in Spanish here.