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Becoming a CCS Provider

 

Thank you for your interest in becoming a CCS provider. View list of CCS eligible medical conditions. 

Dental Providers

Dental providers requesting to treat CCS beneficiaries must be actively enrolled in the Medi-Cal Dental Program (Denti-Cal) and comply with Denti-Cal’s policies, procedures, and requirements.  For more information about the Denti-Cal program, ple ase go to the Denti-Cal website.

CCS Medi-Cal Clients

These beneficiaries are eligible for full scope benefits with no share of cost under Medi-Cal. Dental Authorizations and claims are to be sent directly to Denti-Cal and do not require a Service Authorization Request (SAR) from CCS. 

CCS-Only and CCS /Healthy Families Clients

These beneficiaries are eligible for screening of Medically Handicapping Malocclusion and may be authorized to receive orthodontic comprehensive State-funded health care and require prior CCS authorization.

Contact information for questions:

  • California Department of Health Care Services
    Children's Medical Services Branch
    Provider Services Unit
    P.O. Box 997413, MS 8100
    Sacramento, CA 95899-7413
    (916) 322-8702

All Other Providers

To apply for a Medi-Cal provider number, please go to the Medi-Cal website.
Paneling Application:
 
All providers who are required to be CCS paneled will receive a quicker response by submitting their paneling application online through https://cmsprovider.cahwnet.gov/PANEL/index.jsp.
Providers may track their application status on-line with a unique tracking number. If additional information is needed, you may fax these documents to (916) 440-5299.
Family Medicine Physicians:


Family Medicine physicians must meet the requirements of number 1 above and have documented experience treating children with CCS eligible medical conditions for at least five years, or have treated 100 or more such children. Please refer to FAQ.
 
Documented experience means providing the CCS program with a list of cases indicated by a numeric value instead of a name, their CCS-eligible medical condition and the range of dates during which services were rendered. Do not provide the names of the children or any other specific identifiers in your report.

Contact The Systems of Care Division, Provider Services Unit at (916)322-8702 if you have any further questions.

 

Last modified on: 1/20/2017 12:58 PM