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Program Overview

History

Program Overview

Contact Us

References

External Resources

History

The Nick Snow Children’s Hospice and Palliative Care Act of 2006/ Assembly Bill 1745 required the California Department of Health Care Services to submit a 1915(c) waiver to the Centers for Medicare and Medicaid Services.  This would allow children with life-limiting or life-threatening conditions to receive concurrent curative and palliative care without electing to receive hospice care, which requires certification by a physician that the child has 6 months or less to live.

The Children's Medical Services (CMS) Branch was designated as the lead agency to write the waiver and worked with the Medi-Cal Waiver Analysis Branch, the Children’s Hospice and Palliative Care Coalition and other stakeholders to develop the waiver  which was approved in December of 2008.

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Program Overview

In participating counties, the Partners for Children (PFC) program offers services, through local participating hospice and home health agencies, to help children and their families during the course of the child’s illness.  The goal is to improve quality of life as well as reduce hospital stays, medical transports and emergency room visits.  PFC services include: care coordination, family training, respite, expressive therapies, and family bereavement counseling.  To participate, a child must meet all waiver criteria including: age limit, residence in a participating county, full-scope Medi-Cal coverage, and medical/level of care requirements. 

The CMS Branch is responsible for the administration and evaluation of PFC.   A statutorily mandated independent evaluation of this program’s cost-effectiveness and medical necessity is being conducted by the UCLA Center for Health Policy Research.

Note:   Enactment of the Patient Protection and Affordable Care Act (federal health care reform) in March 2010 allows a child who is a Medi-Cal beneficiary to receive hospice services while concurrently receiving treatment services.  However, this benefit is only available for a child whose life expectancy is 6 months or less.

 

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CONTACT US

PFC email address: ccsppc@dhcs.ca.gov

PFC voicemail: 1-866-418-2933

 

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Last modified on: 10/23/2013 3:41 PM