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California Children’s Services (CCS) Whole-Child Model (WCM)

Senate Bill (SB) 586 authorizes the Department of Health Care Services (DHCS) to establish the Whole-Child Model (WCM) program in designated County Organized Health System (COHS) or Regional Health Authority counties to incorporate California Children’s Services (CCS) program covered services for Medi-Cal eligible CCS children and youth into a Medi-Cal managed care plan (MCP) contract.  DHCS has developed a “Whole-Child Model” to be implemented in 21 specified counties, no sooner than July 2018.  The results are improved care coordination for primary, specialty, and behavioral health services for CCS and non-CCS conditions.  The benefits are consistent with CCS program standards and provided by CCS paneled providers, specialty care centers, and pediatric acute care hospitals.  WCM approach meets the six goals for CCS Redesign:
  • Implement Patient and Family-Family Centered Approach
  • Improve Care Coordination through an Organized Delivery System
  • Maintain Quality
  • Streamline Care Delivery
  • Build on Lessons Learned
  • Cost Effective

 

The approach is consistent with the primary goals of providing comprehensive treatment and focusing on the whole-child, including the child’s full range of needs rather than only on the CCS health condition.

There are 21 counties and 5 health plans that will participate in the WCM.
 
​Whole-Child Model Health Plans and COHS Counties
​CenCal Health ​Central California Alliance for Health ​Health Plan of San Mateo ​CalOptima ​Partnership HealthPlan of California

​San Luis Obispo, Santa Barbara

​Merced, Monterey, Santa Cruz

​San Mateo ​Orange ​Del Norte, Humboldt, Lake, Lassen, Marin, Mendocino, Modoc, Napa, Siskiyou, Shasta, Solano, Sonoma, Trinity, Yolo

Resources and Information

Whole-Child Model Documents

Beneficiary Flyer (English) (Spanish) (Updated February 2017)
County Information Notice (Updated February 2017)
County Readiness (Updated February 2017)
Frequently Asked Questions (FAQs) (Updated February 2017)
Health Plan Readiness (Updated February 2017)
Implementation Timeline (Updated January 13, 2017)
Phase-In Methodology (Updated February 2017)

Archive/Resources

 

Contact Us

Any comments, questions, or suggestions regarding the CCS stakeholder process or the Whole-Child Model or requests to be added to the CCS stakeholder e-mail distribution list can be submitted to CCSRedesign@dhcs.cs.gov.

 

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Last modified on: 2/6/2017 10:27 AM