CCS Numbered Letters
Numbered Letter Web Page Updates
As part of the Department of Health Care Services (DHCS) project to make all DHCS webpages compliant with the Americans with Disabilities Act (ADA), The Integrated Systems of Care Division (ISCD) is reorganizing this California Children's Services (CCS) Numbered Letter (N.L.) webpage. This includes ISCD removing all references to inactive and outdated N.L.s and only listing active N.L.s.
If you need to access a N.L. that is no longer being displayed on this website, or the N.L. hyperlink displayed is not working, please send a request to
CCSProgram@dhcs.ca.gov, including the CCS N.L. number and/or title you were trying to access, and we will forward to you a copy of the inactive N.L.
Sign up for e-mail notices (LISTSERV) when CMS Branch letters are posted.
2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | 2014 |
2013 | 2012 | 2011 |
2010 |
2009 | 2008 |
2007 |
2006 |
2005 |
2004 |
2003 |
2002 |
2001 |
2000 |
1999 |
1997 |
1994 |
1992
2025
Number
| Release Date
| Index Category
| Title (Subject) of Letter
|
01-0325
| 03-19-2025
| Medical Therapy Program
| Vendored Occupational Therapy and/or Physical Therapy Program
Note: Supersedes N.L. 21-0594, 26-0793, 30-1092, 68-0981
|
2024
2023
2022
Number
| Release Date
|
Index Category |
Title (Subject) of Letter |
15-1222
| 12-23-22
| Benefits
| Continuous Glucose Monitoring
|
03-1222
| 12-21-22
| Program Administration
| Alternative Format Selection for California Children’s Services Beneficiaries with Visual Impairments
|
02-0822
| 08-30-22
| Benefits
| Assistive Communication Technology Devices and Related Services
|
2021
Number
| Release Date
| Index Category | Title (Subject) of Letter
|
| 02-0321 | 05-25-21
| Authorization/Benefits
| Antisense Oligonucleotide Treatment of Duchene Muscular Dystrophy Note: Supersedes N.L. 05-0618, 11-1120 |
01-0121
| 01-11-21
| Authorization/Benefits
| Cystic Fibrosis Transmembrane Conductance Regulator Modulator Drug Therapies
Note: Supersedes N.L.: 13-1120 |
2020
2019
| Number | Release Date | Index Category | Title (Subject) of Letter |
| 12-1119 | 11-18-19 | Benefits
| Palliative Care Options for CCS Eligible Children Note: Supersedes CCS N.L.
16-1218 |
| 11-1119 | 11-21-19 | Benefits | Cerliponase Alfa (Brineura) - Authorization Criteria (Revised) |
| 10-1119 | 11-21-19 | Benefits | Voretigene Neparvovec-rzyl (Luxturna) - authorization Criteria |
| 09-1119 | 11-18-19 | Benefits | Authorization of Out of State Service Requests |
| 07-1019 | 10-31-19 | Benefits
| Tisagenlecleucel (Kymriah) - REVISED Note: Supersedes CCS N.L. 07-1018 |
|
05-1019 | 10-18-19 | Program Administration | Program Requirements for Physician Assistants Providing Patient Care in Neonatal Intensive Care Units |
|
02-0919 | 09-30-19 | Benefits | California Children's Services Program and Genetically Handicapped Persons Program Policy on Epidiolex (Cannabidiol) -REVISED |
2018
|
12-0818 | 08-24-18
| Benefits
| Cochlear Implant Updated Candidacy Criteria and Authorization Procedure |
|
11-0818 | 08-01-18 | Benefits | Chapter 3.37 - CCS Provider Core, Special Care Centers (SCCs) |
|
10-0718 | 9-18-18 | Benefits | Tisagenlecleucel (Kymriah) |
|
09-0718 | 7-17-18 | Benefits | Tele-Speech, Auditory Habilitation and Rehabilitation Services with the Home as the Originating Site |
|
06-0718 | 7-10-18 | Benefits | Authorization Of Diagnostic And Treatment Service For Infants Referred By The California Newborn Screening (NBS) Program For X-Linked Adrenoleukodystrophy (ALD) |
| 03-0518 | 05-07-18 | Benefits | Authorization of Genetic Testing - REVISED NOTE: Supersedes CCS N.L. 10-0291 |
2017
| 16-1217 | 01-08-18
| Benefits | Telehealth Services Code Update for CCS Program and GHPP |
| 12-1017 | 10-30-17 | Benefits | IVACAFTOR (KALYDECO™) -EXPANDED INDICATION FOR USE – UPDATED NOTE: Supersedes CCS N.L. 05-0317
|
| 07-0317 | 03-20-17 | Medical Therapy Program | Establishment of HIP Surveillance Programs in the California Children's Services (CCS) Program, Medical Therapy Program (MTP) |
| 01-0117 | 03-03-17 | Benefits | LUMACAFTOR/IVACAFTOR(ORKAMBI™) - REVISED |
2016
| 06-1116 | 12-05-16 | Program Administration | Program Requirements for Providing Neonatal Therapeutic Hypothermia |
| 05-1016 | 10-21-16 | Benefits | High Risk Infant Follow-Up (HRIF) Program Services |
| 04-0816 | 09-09-16
| Benefits | Authorization of Diagnostic Services for Infants referred through the California Newborn Hearing Screening Program (NHSP) |
|
01-0616 | 06-30-16 | Benefits | Cochlear Implant Batteries and Parts |
2015
| 08-1215 | 12-30-15
| Benefits
| Cochlear Implant Batteries and Parts (Request Form) (Supplements CCS N.L.
13-1106) Note: Supersedes CCS N.L. 02-0411
|
| 04-0715 | 07-15-15 | Service Authorization | Implementation of Medi-Cal Managed Care All Plan Letter (APL) 15-011, Designated Public Hospitals: Billing for Beneficiaries with California Children's Services Eligible Conditions and/or Medi-Cal Managed Care
|
2014
| 16-1114 | 01-09-15
| Supplements | The CCS Program Administrative Case Management Manual |
| 15-1014 | 10-24-14 | Benefits | Authorization of the Services and Products for the Ketogenic Diet as a Treatment for Epilepsy |
| 13-0914 | 10-03-14 | Benefits
| PALIVIZUMAB (SYNAGIS™) |
| 12-0914 | 10-13-14 | Fund Codes | MR-O-940 REPORTS - Procedures for Requesting Shift of Claim Line Costs From One Funding Category to Another Funding Category |
|
09-0514 | 06-05-14 | Medical Therapy Program | Powered Mobility Devices (PMD) |
|
05-0314 | 04-09-14 | Standards for Pediatric Intensive Care Units | The CCS Program Pediatric Intensive Care Unit Standards Update: Annual PICU Report |
|
04-0314 | 04-24-14 | Program Administration | Guidelines for Critical Congenital Heart Disease Screening Services |
|
03-0314 | 04-08-14 | Standards for Neonatal | Standards for Neonatal Intensive Care Unit (NICU) |
|
02-0214 | 03-12-14 | MTP
| Implementation of Updated Tools for Classification of Function and Measurement of Functional Outcomes in the Medical Therapy Program |
01-0114 | 01-15-14 | EPSDT | Early and Periodic Screening, Diagnosis, and Treatment - Private Duty Nursing and Pediatric Day Health Care, Treatment Authorization Requests and Services Authorization Requests
|
2013
|
14-1213 | 01-06-14 | Benefits
| Telehealth Services for CCS and GHPP Programs |
|
12-1113
| 11-12-13 | Benefits
| Optional Targeted Low Income Children's Program Aid Codes T1, T2, T3, T4, and T5 and Separate Children's Health Insurance Program Section 2101 (f) Aid Codes E2 and E5; Assignment of CCS Unique Aid Codes |
|
02-0413 | 04-12-13 | Authorizations | Neonatal Intensive Care Unit (NICU) Authorizations NOTE: This letter supersedes N.L. 04-0511 |
2012
|
07-0612 | 07-12-12 | Medical Therapy Program | Implementation of the Episodic Treatment Method (ETM) as an Alternative Therapy Provision Method (ATPM) in the Medical Therapy Program (MTP) |
|
05-0612
| 06-27-12 | Medical Benefits | Intrathecal Baclofen (ITB) Pumps for the Management of Spasticity and Dystonia |
|
02-0612 | 06-20-12 | Program Administration | Providing Contact Information to the Newborn Hearing Screening Program |
2011
11-1211
| 12-14-11 | Benefits
| Authorization of Diagnostic Audiology and Treatment Services for Children With Hearing Loss
NOTE: This letter Supersedes CCS N.L. 21-1299
|
|
09-1011 | 10-25-11 | | Cochlear Implant Post Surgical Services
(Supplements CCS N.L.
09-1208)
|
08-1011
| 10-25-11 | Benefits | Genetics Evaluation For Children With Hearing Loss |
07-1011
| 10-25-11 |
| Hearing Aids (Supplements CCS N.L
12-0605) |
06-1011
| 10-07-11 | | Authorization of Medically Necessary Concurrent Treatment Services for CCS Clients Who Elect Hospice Care |
05-0811
| 08-23-11 |
| Participation in the CCS Medical Therapy Program (MTP) Medical Therapy Conference (MTC) By CCS Program Medical Directors and Medical Consultants |
2010
|
Number |
Release Date |
Index Category |
Title (Subject) of Letter |
|
03-0810 | 08-19-10 | Benefits
| Maintenance and Transportation for CCS Clients to Support Access to CCS Authorized Medical Services NOTE: This letter supersedes CCS N.L
01-0104
|
|
02-0510 | 05-20-10 | Benefits | Service Code Grouping (SCG) 51 Implementation |
|
01-0510 | 05-20-10 | Benefits | Botulinum Toxin NOTE: This letter supersedes CCS N.L. 07-0407
|
2009
|
03-0409 | 05-07-09 | Program Administration | Interim Appeal and Fair Hearing Process for Dental and Orthodontic Denials Made by Medi-Cal Dental for CCS |
02-0209
| 03-26-09 | Benefits | Update of Table 1 (Family Size and Annual Income Level Chart) - Medi-Cal Year 2009 Federal Poverty Level Chart; Effective Beginning April 1, 2009
|
2008
|
Number |
Release Date |
Index Category |
Title (Subject) of Letter |
10-1208
| 01-21-09 | Benefits | Update and Clarification of Policy Related to the Authorization of Frequency Modulation (FM) Systems or Assistive Listening Devices
(Supplements
13-0605) |
|
09-1208 | 12-26-08 | Benefits | Cochlear Implants |
01-0108
| 01-10-08
| Benefits
| CCS Outpatient Special Care Center (SCC) Services
NOTE: This letter supersedes CCS N.L. 08-0900.
|
2007
13-1007 | 10-12-2007 | | Implementation of Assembly Bill (AB) 1642 |
11-0807 | 08-30-07 | Benefits
| Hearing Aid Supplies and Maintenance (Supersedes 30-1205) |
10-0707
| 11-09-07 | Benefits | Revised Guidelines for Authorization of Oxygen, Oxygen Delivery Equipment, and Related Supplies
Note: This letter supersedes CCS N.L. 01-0107. |
09-0607 | 06-18-07 | Benefits |
Authorization of Diagnostic and Treatment Services for Infants Referred by the California Newborn Screening (NBS) Program for Cystic Fibrosis (CF) and Biotinidase Deficiency (BD) |
08-0507 | 04-26-07 | Benefits | Vagal Nerve Stimulator (VNS) Implantation |
05-0207
| 02-16-07 | Benefits | Authorization of Short-Term Shift Nursing Services and HCPCS Codes for Short-Term Shift Nursing Services |
02-0107 | 01-08-07 | Benefits | Authorization of Rental of Portable Home Ventilators |
2006
|
13-1106 | 11-27-06 | Benefits | Cochlear Implant Speech Processor Upgrades |
|
10-0806 | 08/30/06 | Benefits | Authorization of Emergency Services Related to Trauma |
|
07-0506 | 05/16/06 | Benefits | Intermittent Home Health Services Provided by a Home Health Agency (HHA) and Service Allowances (Time) Per Visit List |
|
06-0506 | 05/01/06 | Growth Hormone | Growth Hormone |
|
05-0406 | 05/05/06 | Medical Therapy Program | Directions for Completion of the Quarterly Time Study (QTS) for Medical Therapy Program (MTP) for 100 Percent State-Funding to Comply with Interagency Agreements (Assembly Bill 3632),
Quarterly Time Study for MTP, and Summary Sheet |
|
02-0106 | 01/12/06 |
Benefits | Update to Medi-Cal Approved Centers of Excellence for Cochlear Implants Providing Services for CCS Eligible Beneficiaries
Note: See also 14-1003 (Superseded by 03-0411) |
|
01-0106 | 01/09/06 |
Budgets | California Children’s Services (CCS) Expenditure Reporting to the California Department of Finance (DOF) for the purpose of Calculation of Realignment Caseload Growth
|
2005
29-1105
| 11-10-05 | HIPAA | Changes to the CCS Notice of Privacy Practices, Spanish Version and English Version |
|
28-1105 | 10-31-05 | Benefits | Instructions for Certification of Funding Under Health and Safety Code Section 123945 |
26-0905 | 09-27-05 | Eligibility | Newborn Referral to the Medi-Cal Program and
Newborn Referral form |
|
23-0905 | 09-16-05 | Drugs | Epoetin Alfa and Carnitine Removed from "Table of Drugs Requiring Separate Authorization"
NOTE: This letter supersedes Supersedes N.L.:27-0989, 01-0192, 12-0393, 20-0895, and 15-0892. |
20-0605 | 07-08-05 | Benefits | Non-Benefit Status of Regular Infant Formulas |
|
18-0605 | 06-28-05
| Benefits | Nationwide Recall of VAIL Enclosed Bed Systems and FDA Notifies Public That Vail Products, Inc. Issues Nationwide Recall of Enclosed Bed Systems |
|
16-0605 | 06-13-05 | Benefits | Delegation of Authority to Authorize Medical Nutrition Services to County CCS Programs and CMS Regional Offices |
|
15-0605 | 06-13-05 | Benefits | Speech Pathology Services and Medi-Cal Certified Outpatient Rehabilitation Centers |
|
14-0605 | 06-13-05 | Benefits | Authorization of Occupational Therapy (OT) Services and Medi-Cal Certified Outpatient Rehabilitation Centers |
|
13-0605 | 06-13-05 | Benefits | Delegation of Authority for Authorization of Assistive Listening Devices to County CCS Programs and CMS Regional Offices and Request for Hearing Aids and Assistive Listening Devices
(Supplemented by 10-1208)
|
|
12-0605 | 06-13-05 | Benefits | Delegation of Authority for Authorization of Hearing Aids Previously Reviewed as "Non-Conventional Hearing Aids" to County CCS Programs and CMS Regional Offices and Request for Hearing Aids and Assistive Listening Devices (Supplemented by 07-10-11) |
|
11-0605 | 06-13-05 | Benefits | Delegation of Authority for Authorization of Aural Rehabilitation Services to County CCS Programs and CMS Regional Offices and Medi-Cal Certified Outpatient Rehabilitation Centers |
|
10-0605 | 06-03-05 | Therapy | Medical Therapy Unit (MTU) Medi-Cal Reimbursement State County Cost Sharing and Reconciliation
|
06-0505 (PDF, 8.30MB)
| 05-06-05 | Benefits | Intermediate Care Facility/Developmentally Disabled - Nursing (ICF/DD-N) Statewide Facility Listing |
|
05-0405 | 04-01-05 | Benefits | Authorization of Diagnostic Services for Infants Referred by the California Newborn Screening Program and Overview of the Genetic Disease Branch Newborn Screening Program |
|
03-0205 | 06-13-05 | Benefits | Delegation of Authority to Authorize Early and Periodic Screening, Diagnosis and Treatment Supplemental Services (EPSDT SS) to County CCS Programs and CMS Regional Offices, EPSDT Supplemental Services Worksheet, EPSDT Supplemental Services Worksheet Instructions, and Notice of Action (NOA) and First Level Appeal Decision Letter |
|
01-0105 | 01-19-05 | HIPAA | Dependent and Independent County CCS Medical Therapy Program Guidelines for Development of Policies and Procedures for Implementation of the Health Insurance Portability and Accountability Act (HIPAA) |
|
02-0205 | 01-20-05 | Medical Therapy Program | Functional Outcome Measurement for the Medical Therapy Program
|
2004
|
07-1004 | 10-28-04 | Benefits | Health Care Financing Administration Common Procedural Coding System (HCPCS) Code Changes Effective November 1, 2004 for Durable Medical Equipment (DME) and Diabetic Supplies. |
|
06-1004 | 04-08-05 | Program Administration | Changes in California Children's Services (CCS) Dental and Orthodontic Service Authorizations and Claims Processing
NOTE: This letter supersedes CCS N.L. 07-0395.
NOTE: This letter is the corrected version. |
04-0604 | 06-29-04 | Enhancement 47 | CCS E47 System Temporary Dual Procedure |
|
02-0104 | 01-21-04 | Benefits | Purchase and Utilization of Loss and Damage (L & D) Insurance for Hearing Aids, Cochlear Implant Processors, or Alternative Listening Devices for CCS Case-Managed Beneficiaries |
|
01-0104 | 01-09-04 | Transportation | Maintenance and Transportation to Assist Clients in Accessing CCS Authorized Medical Services
NOTE: This letter, which has been corrected,
supersedes CCS N.L. 16-0801. NOTE: This letter is superseded by CCS N.L. 03-0810.
|
2003
| Number | Release Date | Index Category | Title (Subject) of Letter |
|
15-1103 | 12-12-03 | Medical Therapy Program | Request for Pilot Project Application: Medical Therapy Program |
|
13-0903 | 09-12-03 | Medical Eligibility | Medical Eligibility Nephrotic Syndrome |
12-0803
| 08-21-03 | Eligibility | Implementation of Assembly Bill (AB) 495; Expansion of Children’s Health Insurance Coverage |
|
11-0703 | 07-24-03 | HIPAA | Notice of Privacy Practices for CCS Clients; Compliance with Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule
NOTE: This letter supersedes CCS N.L. 05-0403. |
|
09-0703 | 08-08-03 | Durable Medical Equipment | Revised California Children's Services (CCS) Guidelines for Recommendation and Authorization of Rental or Purchase of Durable Medical Equipment-Rehabilitation (DME-R)
NOTE: This letter supersedes CCS N.L. 08-0291 and
CCS N.L. 23-0793.
|
|
07-0503 | 05-13-03 | Medical Eligibility | Injuries to Joints and Tendons-Policy Clarification |
2002
|
08-0802 | 08-30-02 | Benefits
| Two Additional CCS Approved Metabolic Centers Providing Diagnostic Services for Infants Referred from the Newborn Screening Program Tandem Mass Spectrometry (MS/MS) Research Project
NOTE: This letter supplements
CCS N.L.
01-0102. |
|
05-0502 | 05-15-02 | Medical Eligibility | Medical Eligibility for Care in a CCS-Approved Neonatal Intensive Care Unit (NICU)
NOTE: This letter is the corrected version. This letter supersedes
CCS N.L. 11-0999. |
|
02-0102 | 01-31-02 | Benefits | Pulse Oximeters
NOTE: This letter supersedes CCS N.L. 01-0191. |
|
01-0102 | 01-18-02 | Benefits | Authorization of Diagnostic Services for Infants Referred by the Newborn Screening Program (Genetic Disease Branch) for Unusual Test Results from the Supplemental Screening for Multiple Metabolic Disorders Tandem Mass Spectrometry (MS/MS) Research Project
NOTE:
CCS N.L. 08-0802 supplements this letter.
|
2001
| Number | Release Date | Index Category | Title (Subject) of Letter |
18-0901
| 10-17-01 | Medical Therapy Program | Reimbursement of Local Education Agencies (LEA) or Special Education Local Planning Areas (SELPA) for Provision of Medically Necessary Therapy Services to Children Medically Eligible for CCS/Medical Therapy Program (MTP) |
|
11-0601 | 06-12-01 | - | CCS Policy Regarding the Requirement that all CCS Applicants Shall Make Application to the Medi-Cal Program; Health and Safety Code Section 123995
NOTE: This letter supersedes CCS N.L. 03-0300.
|
| 02-0301 | 03-09-01 | Case Management | Implementation of Section 14133.05 of the Welfare and Institutions Code Regarding Treatment Authorization |
2000
| Number | Release Date | Index Category | Title (Subject) of Letter |
|---|
11-1600
| 12-07-00 | Medical Therapy Program | Duplication of Physician or Therapy Services Being Provided Through the California Children's Services (CCS)/Medical Therapy Program (MTP)
|
|---|
11-1500
| 11-27-00
| Medical Eligibility
| Verifying Residential Eligibility for Children Who Are Medi-Cal Full Scope or Healthy Families (HF) Eligible
|
|---|
1999
|
17-1199 | 01-14-00 | Benefits | Automobile Orthopedic Positioning Devices (AOPDS) |
02-0299
| 03-10-99 | Benefits | Medical Nutrition Assessment and Medical Nutrition Therapy for Children with CCS Medical Eligible Conditions
|
1997
| Number | Release Date | Index Category | Title (Subject) of Letter |
|
20-0997 | 09-10-97 | Case Management | Case Management Timelines |
16-0597
| 05-30-97 | Medical Therapy Program | Medical Therapy Program (MTP) Clerical Support Staffing |
|
06-0397 | 03-10-97 | Medical Therapy Program | The Medical Therapy Program (MTP): Dispute Resolution Through "Expert" Physician |
|
02-0197
| 01-16-97 | Durable Medical Equipment | Authorization of Flutter Valves and ThAIRapy Vests
|
1994
|
43-1194 | 11-14-94
| Medical Therapy Unit | Utilization Review for Outpatient Rehabilitation Center Certification |
06-0394
| 03-10-94 | Insurance | Required Use of Health Insurance
|
1992
|
Number |
Release Date |
Index Category |
Title (Subject) of Letter |
|---|
29-1092
| 10-07-1992
| Rehabilitation
| Rehabilitation Facilities Admission Criteria
|
