​​​CCS Numbered Letters

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2014 | 201320122011 | 2010 | 2009 | 2008 | 2007 | 2006 | 2005 | 2004 | 2003 | 2002 | 2001 | 2000 | 1999 | 1998 | 1997 | 1996 | 1995 | 1994 | 1993

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​Cerilponase 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
​08-1119​11-7-19​Benefits​GHPP policy on Palynziq (pegvaliase-pqpz)
07-1019​10-31-19​Benefits​Tisagenlecleucel (Kymriah) - REVISED
​06-1019​10-22-19​Benefits​Cystic Fibrosis Transmembrane Conductance Regulator Modulator Drug Therapies
​05-1019​10-18-19​Program Administration​Program Requirements for Physician Assistants Providing Patient Care in Neonatal Intensive Care Units
​04-1019​10-18-19​Benefits ​Central Precocious Puberty
​03-1019​10-18-19Medical Eligibility​Kawasaki Disease
02-0919​09-30-19​Benefits​California Children's Services Program and Genetically Handicapped Persons Program Policy on Epidiolex (Cannabidiol) -REVISED
​01-0819​08-12-19​Benefits​Authorization of Restricted Treatment Drugs for Bleeding Disorders

2018 

​Number
​Release DateIndex Category​
Title (Subject) of Letter​
​16-121804-9-18​Benefits​Palliative Care Options for CCS Eligible Children (REVISED)
​15-08180​9-19-18​Benefits​Chapter 3.38 - Neuromuscular Medicine
​14-08180​9-18-18​Benefits​Continuous Glucose Monitoring (CGM)
​12-08180​8-24-18​BenefitsCochlear Implant Updated Candidacy Criteria and Authorization Procedure
​11-08180​8-01-18​Benefits​Chapter 3.37 - CCS Provider Core, Special Care Centers (SCCs)
​10-0718​9-18-18​Benefits​Tisagenlecleeucel (Kymriah)
​09-0718​7-17-18​BenefitsTele-Speech, Auditory Habilitation and Rehabilitation Services with the Home as the Originating Site
​08-0718​7-10-18​Benefits

Enteral Nutrition Products As CCS Program And GHPP Benefits – Revised - Service Authorization Request (SAR) Clarification

NOTE: Supersedes CCS N.L. 04-0317

​07-0718​7-10-18​​Benefits

​​Cerliponase Alfa (Brineura)

​06-0718​7-10-18​BenefitsAuthorization Of Diagnostic And Treatment Service For Infants Referred By The California Newborn Screening (NBS) Program For X-Linked Adrenoleukodystrophy (ALD)
​05-0618​06-20-18​Benefits

​Eterplirsen (EXONDYS 51)

NOTE: This letter is the corrected version

NOTE: Supersedes CCS N.L. 13-1117

04-0618​05-10-19 REVISED​Benefits​California Children's Services Program Whole Child Model
03-0518​05-07-18​Benefits

​Authorization of Genetic Testing - REVISED

NOTE: Supersedes CCS N.L. 10-0291

​02-0418​04-26-18​Benefits

CCS Standard 3.35: Standards For Extracorporeal Life Support (ECLS) Centers - REVISED

NOTE: Supersedes CCS N.L. 02-0318
​02-0318​04-18-18​Benefits

CCS Standard 3.35: Standards For Extracorporeal Life Support (ECLS) Centers

NOTE: This letter is superseded by CCS N.L. ​02-0418

01-0218

​02-02-18​Benefits​Nusinersen (SPINRAZA)
  

​2017

NumberRelease DateIndex Category

Title (Subject) of Letter

16-1217​01-08-18​Benefits​Telehealth Services Code Update for CCS Program and GHPP
15-1217​01-08-18​Benefits​DEFLAZACORT (EMFLAZA™) - REVISED
NOTE: Supersedes CCS N.L. 08-0717
​14-1117​11-13-17​Benefits

​NUSINERSEN (SPINRAZA™) - REVISED

NOTE: Supersedes CCS N.L. 06-0317
​13-1117​11-13-17​Benefits

​ETEPLIRSEN (EXONDYS 51™) - REVISED

NOTE: Supersedes CCS N.L. ​​02-0217
12-1017​10-30-17​BenefitsIVACAFTOR (KALYDECO™) -EXPANDED INDICATION FOR USE – UPDATED NOTE: Supersedes CCS N.L. 05-0317
11-1017​10-30-17​Benefits​Authorization of Insulin Infusion Pumps - Revised
NOTE: Supersedes CCS N.L. 08-0799​
10-1017​10-10-17​Benefits​CERLIPONASE ALFA (BRINEURA)
09-0817​09-12-17​Benefits

​Bone Anchored Hearing Aids (BAHA) (Request Form)

NOTE: Supersedes CCS N.L. 01-0513

                               CCS N.L. 03-0207

08-0717​​07-24-17​Benefits​DEFLAZACORT (EMFLAZA™)
07-0317​​03-20-17​Medical Therapy Program​Establishment of HIP Surveillance Programs in the California Chil​dren's Services (CCS) Program, Medical Therapy Program (MTP)
06-0317​03-09-17​Benefits

​NUSINERSEN (SPINRAZA™)

05-0317​03-09-17​Benefits​IVACAFTOR (KALYDECO™) - EXPANDED INDICATION FOR USE - UPDATED
​04-0317 (Revised)​10-30-17​Benefits​Enteral Nutrition Products as CCS Program and GHPP Benefits
03-0317​03-09-17​Benefits​Continuous Glucose Monitoring (CGM) as a CCS/GHPP Program Benefit
02-0217​03-03-17​Benefits

​ETEPLIRSEN (EXONDYS 51™)

01-0117​03-03-17​BenefitsLUMACAFTOR/IVACAFTOR (ORKAMBI™) - REVISED

2016

NumberRelease DateIndex CategoryTitle (Subject) of Letter
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)
03-0816​08-10-16​Benefits​IVACAFTOR (KALYDECO™) - EXPANDED INDICATION FOR USE - REVISED
02-0816​08-10-16​Benefits
LUMACAFTOR/IVACAFTOR (ORKAMBI™) - REVISED
01-0616
06-30-16
Benefits
Cochlear Implant Batteries and Parts

2015  

NumberRelease DateIndex CategoryTitle (Subject) of Letter
09-1215​12-30-15​Inter-County Transfer Policy
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

07-1215​12-30-15​Benefits

​Cochlear Implant Updated Candidacy Criteria and Authorization Procedure

Cochlear Implant

(Supplements CCS N.L. 03-0411)

Note: Supersede CCS N.L. 10-1211

06-0915​09-08-15​Benefits
LUMACAFTOR/IVACAFTOR (ORKAMBI™)
05-0715​07-13-15​Benefits

​Enteral Nutrition Products as CCS Program and GHPP Benefits.

Enteral Nutrition Products Form 1, and Form 2.

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
03-0415​04-20-15​IVACAFTOR (KALYDECO™)-EXPANDED INDICATION FOR USE AND MINIMUM AGE
02-0315​04-01-15​Benefits​Authorization of Sapropterin Dihydrochloride (KUVAN™)
01-0115
01-09-15
 
Inter-County Transfer Policy

  

2014                                                                                       

NumberRelease Date Index CategoryTitle (Subject) of Letter
16-1114​01-09-15​SupplementsThe CCS Program Administrative Case Management Manual
15-1014​10-24-14​Benefits​Authorization of the Services and Products for the Kentogenic 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
10-051406-10-14Benefits

IVACAFTOR (KALYDECO™)-EXPANDED INDICATION FOR USE

09-051406-05-14Medical Therapy ProgramPowered Mobility Devices (PMD)
05-031404-09-14Standards for Pediatric Intensive Care UnitsThe 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

03-031404-08-14Standards for NeonatalStandards for Neonatal Intensive Care Unit (NICU)
02-021403-12-14MTPImplementation 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

 

 NumberRelease Date Index CategoryTitle (Subject) of Letter
14-121301-06-14BenefitsTelehealth 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

10-111301-23-14Benefits

High Risk Infant Follow-Up (HRIF) Program Services

Note: Numbered Letter: 10-1113 Supersedes CCS Numbered Letter 09-0606

04-061309-30-13BenefitsDental Implant Requests

01-0513

06-04-13

Benefits

Bone Anchored Hearing Aids (BAHA)

02-0413

 

 

04-12-13

Authorizations

Neonatal Intensive Care Unit (NICU) Authorizations

NOTE: This letter supersedes N.L. 04-0511

01-0113  

01-10-13

Benefits

Palivizumab (Synagis)

NOTE: This letter supersedes N.L. 04-0509

 

2012

 

NumberRelease DateIndex CategoryTitle (Subject) of Letter

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

03-0512

06-26-12

Benefits

IVACAFTOR (KALYDECO™)

02-0612

06-20-12

Program Administration

Providing Contact Information to the Newborn Hearing Screening Program

2011

​ Number
Release DateIndex CategoryTitle (Subject) of Letter

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

10-1211

 

 

12-09-11

 Benefits

Cochlear Implant Updated Candidacy Criteria And Authorization Procedure (Supplements: NL 03-0411)

NOTE: This letter Supersedes CCS N.L.  09-1208

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

04-0511

05-06-11

Authorizations

Neonatal Intensive Care Unit (NICU) Authorizations

03-0411

05-05-11

Benefits

Cochlear Implants
(Supplements CCS N.L. 09-1208)

02-0411

05-05-11

Benefits

Cochlear Implant Batteries and Parts
(Supplements CCS N.L.  13-1106)

NOTE: This letter supersedes CCS N.L 12-1007 

01-0111 (Revised)

 (Revised)

 03-08-13

Benefits

Authorization of Insulin Infusion Pumps

NOTE: This letter Supersedes CCS N.L. 08-0799

 

​ 

2010

 

 NumberRelease DateIndex CategoryTitle (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

 

 Number Release Date Index Category Title (Subject) of Letter

08-1109

11-18-09

Benefits

Unique CCS Aid Codes for Children Participating in the Pediatric Palliative Care Waiver

07-1109

11-05-09

Benefits

Policy Relating to CCS Nurse Liaison Position in Partners for Children (Pediatric Palliative Care Waiver Program)

05-1009

10-08-09

 

Revised MR-O-940 Reports - Procedures for Error Correction

NOTE: This letter supersedes NL 08-1208

04-0509

09-03-09

Benefits

PALIVIZUMAB (SYNAGIS™)

NOTE: This letter is superseded by NL 01-0113

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

01-0109

03-19-09

 Benefits

Sapropterin Dihydrochloride (Kuvan™)

 

 

2008

 

NumberRelease DateIndex CategoryTitle (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

01-21-09

Benefits

Cochlear Implants

NOTE: This letter supersedes CCS N.L. 09-0900

08-1208

12-05-08

Program Administration

MR-O-940 Reports – Procedures for Error Correction

NOTE: This letter is superseded by CCS N.L. 05-1009

06-1008

10-09-08

Benefits

Authorization of Diagnostic Services for Infants Referred Through the California Newborn Hearing Screening Program (NHSP).

NOTE: This letter supersedes CCS N.L. 21-0705

05-0608

05-27-08

Right to Appeal Decisions of the California Children's Services (CCS) Program

02-0308

03-21-08

Update of Table 1 (Family Size and Annual Income Level Chart) - Medi-Cal Year 2008 Federal Poverty Level Chart; Effective April 1, 2008.

01-0108

 

01-10-08

 Benefits

CCS Outpatient Special Care Center (SCC) Services
NOTE: This letter supersedes CCS N.L. 08-0900.

​ 

2007

 

NumberRelease DateIndex CategoryTitle (Subject) of Letter

15-1207

12-31-2007 

California Children's Services (CCS) Inter-County Transfer Policy

13-1007

10-12-2007

 

Implementation of Assembly Bill (AB) 1642

12-1007

10-01-07

Benefits

Cochlear Implant Batteries and Parts (Supplements N.L.: 09-0900) Cochlear Implant Replacement Parts and Batteries Request Form

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

07-0407

 

 

04-06-07

Benefits

Botulinum Toxin

NOTE: This letter is superseded by CCS NL 01-0510

06-0307

03-21-07

Benefits

Update of Table 1 (Family Size and Annual Income Level Chart) - Medi-Cal Year 2007 Federal Poverty Level Chart; Effective Beginning April 1, 2007

05-0207

02-16-07

Benefits

Authorization of Short-Term Shift Nursing Services and HCPCS Codes for Short-Term Shift Nursing Services

04-0207

02-14-07

Benefits

Palliative Care Options for CCS Eligible Children and Codes Available for Authorization of Pediatric Palliative Care Services

03-0207

02-15-07

Benefits

Bone Anchored Hearing Aids (BAHA) and BAHA Request Form

02-0107

01-08-07

Benefits

Authorization of Rental of Portable Home Ventilators

01-0107

01-03-07

Benefits

Revised Guidelines for Authorization of Oxygen, Oxygen Delivery Equipment and Related Supplies and Oxygen Delivery Systems

 

 

2006

 

NumberRelease DateIndex CategoryTitle (Subject) of Letter
15-120612-14-06EligibilitySupplement to Numbered Letter (NL): 12-1006 and Healthy Families Statement of Annual Income
13-110611-27-06BenefitsCochlear Implant Speech Processor Upgrades
12-100610-26-06EligibilityUpdated CCS Policies Relating to Children who are Healthy Families Subscribers
11-100610/17/06BenefitsPalivizumab (Synagis™)
10-080608/30/06BenefitsAuthorization of Emergency Services Related to Trauma
09-060606/09/06Benefits

High Risk Infant Follow-Up (HRIF) Program Services

NOTE a: Enclosures B and C - Registration Client Identification Face Sheet and Health and Developmental Status Report are superseded by both the CCS HRIF on-line, web-based reporting system (Non DHCS), and HRIF website Program Evaluation and Quality Improvement Reporting section.

NOTE b: Section II.B.4.d (page 6) “A referral shall be made to a Type C CDC for diagnostic hearing evaluation every six months” has been superseded by the CCS N.L. 06-1008.  Now any child who does not have hearing loss (passed initial screen, passed rescreen, passed diagnostic evaluation) but has risk factors should have at least one diagnostic audiology evaluation by 24 to 36 months of age. CCS NL: 06-1008

NOTE c: Numbered Letter: 09-0606 supersedes CCS Number Letter 06-0403

07-050605/16/06BenefitsIntermittent Home Health Services Provided by a Home Health Agency (HHA) and Service Allowances (Time) Per Visit List
06-050605/01/06Growth HormoneGrowth Hormone
05-040605/05/06Medical Therapy ProgramDirections 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
04-03063/30/06Financial EligibilityUpdate of Table 1 (Family Size and Annual Income Level Chart) -Chapter 6 - CCS Residential and Financial Eligibility - Medi-Cal Year 2006 Federal Poverty Level Chart; Effective Beginning April 1, 2006
03-020605/01/06AuthorizationsNeonatal Intensive Care Unit (NICU) Authorizations
02-010601/12/06 BenefitsUpdate 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)
01-010601/09/06 BudgetsCalifornia Children’s Services (CCS) Expenditure Reporting to the California Department of Finance (DOF) for the purpose of Calculation of Realignment Caseload Growth

 

2005

 

NumberRelease DateIndex CategoryTitle (Subject) of Letter
30-120512-27-05BenefitsBenefits for Hearing Aid Maintenance: Batteries, Accessories, Earmolds, and Repair/Modifications for CCS Clients
NOTE: This letter supersedes CCS N.L. 13-0497. (Superseded by 07-1011)
29-110511-10-05HIPAAChanges to the CCS Notice of Privacy Practices, Spanish Version and English Version
28-110510-31-05BenefitsInstructions for Certification of Funding Under Health and Safety Code Section 123945
27-100510-06-05BenefitsPalivizumab (Synagis[TM])
NOTE: This letter supersedes CCS N.L. 05-0994.

26-0905

09-27-05

Eligibility

Newborn Referral to the Medi-Cal Program and Newborn Referral form

25-0905

09-22-05

Eligibility

Hurricane Katrina
24-090509-20-05EligibilityCCS Services for Infants Born to Mothers Participating in the Access to Infants and Mothers (AIM) Program who Subsequent to Birth are Enrolled in the Healthy Families (HF) Program
23-090509-16-05DrugsEpoetin 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.
22-080508-12-05BenefitsEnteral Nutrition Products as a CCS Benefit and Request for Enteral Nutrition Product(s) (Form)
NOTE: This letter supersedes CCS N.L. 04-0399.
21-070507-22-05Benefits

Authorization of Diagnostic Services for Infants Referred Through the California Newborn Hearing Screening Program (NHSP) and Newborn Hearing Screening Program (NHSP) Referral Form

NOTE: This letter is superseded by CCS N.L 06-1008

20-0605

07-08-05

Benefits

Non-Benefit Status of Regular Infant Formulas

19-060507-08-05EligibilityCCS/Healthy Families (HF) Subscribers Deemed Financially Eligible for CCS and Correction of Errors in Monthly County Expenditure Reports
18-060506-28-05BenefitsNationwide Recall of VAIL Enclosed Bed Systems and FDA Notifies Public That Vail Products, Inc. Issues Nationwide Recall of Enclosed Bed Systems
17-060506-13-05BenefitsAuthorization of Radiology Services as Early Periodic Screening Diagnosis and Treatment Supplemental Services (EPSDT SS)
16-060506-13-05BenefitsDelegation of Authority to Authorize Medical Nutrition Services to County CCS Programs and CMS Regional Offices
15-060506-13-05BenefitsSpeech Pathology Services and Medi-Cal Certified Outpatient Rehabilitation Centers
14-060506-13-05BenefitsAuthorization of Occupational Therapy (OT) Services and Medi-Cal Certified Outpatient Rehabilitation Centers
13-060506-13-05BenefitsDelegation 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)
12-060506-13-05BenefitsDelegation 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)
11-060506-13-05BenefitsDelegation of Authority for Authorization of Aural Rehabilitation Services to County CCS Programs and CMS Regional Offices and Medi-Cal Certified Outpatient Rehabilitation Centers
10-060506-03-05TherapyMedical Therapy Unit (MTU) Medi-Cal Reimbursement State County Cost Sharing and Reconciliation
08-050505-26-05BenefitsAuthorization of Diagnostic and Treatment Services for Infants Referred by the California Newborn Screening (NBS) Program Including for Additional Metabolic Disorders and Congenital Adrenal Hyperplasia
06-0505 (PDF, 8.30MB)05-06-05BenefitsIntermediate Care Facility/Developmentally Disabled - Nursing (ICF/DD-N) Statewide Facility Listing
05-040504-01-05BenefitsAuthorization of Diagnostic Services for Infants Referred by the California Newborn Screening Program and Overview of the Genetic Disease Branch Newborn Screening Program
04-030503-18-05Financial EligibilityUpdate of Table 1 (Family Size and Annual Income Level Chart) - Chapter 6 - CCS Residential and Financial Eligibility - Medi-Cal Year 2005 Federal Poverty Level Chart and Charts and Schedules
03-020506-13-05BenefitsDelegation 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
01-010501-19-05HIPAADependent 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)
02-020501-20-05Medical Therapy ProgramFunctional Outcome Measurement for the Medical Therapy Program

  

2004

 

NumberRelease DateIndex CategoryTitle (Subject) of Letter
07-100410-28-04BenefitsHealth Care Financing Administration Common Procedural Coding System (HCPCS) Code Changes Effective November 1, 2004 for Durable Medical Equipment (DME) and Diabetic Supplies.
06-100404-08-05Program AdministrationChanges 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.
05-090409-10-04BenefitsPalivizumab (Synagistm)
NOTE: This letter supersedes CCS N.L. 01-0203.

04-0604

06-29-04

Enhancement 47

CCS E47 System Temporary Dual Procedure

04-0704-12-04 Update of Table 1 (Family Size and Annual Income Level Chart) - Chapter 6 - CCS Residential and Financial Eligibility - Medi-Cal Year 2004 Federal Poverty Level Chart
03-010401-23-04Medical Therapy Program

Billing, Reimbursement, and Reconciliation for Medical Therapy Unit (MTU) Services Provided to Healthy Families (HF) Subscribers by MTUs Certified as Outpatient Rehabilitation Centers (OPRC)
NOTE: This letter has been rescinded

02-010401-21-04BenefitsPurchase and Utilization of Loss and Damage (L & D) Insurance for Hearing Aids, Cochlear Implant Processors, or Alternative Listening Devices for CCS Case-Managed Beneficiaries
01-010401-09-04Transportation

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

 

NumberRelease DateIndex CategoryTitle (Subject) of Letter
15-110312-12-03Medical Therapy ProgramRequest for Pilot Project Application: Medical Therapy Program
14-100310-02-03BenefitsAdditional Medi-Cal Approved Center of Excellence for Cochlear Implants Providing Services for CCS Eligible Beneficiaries
NOTE: This letter supplements CCS N.L. 09-0900

13-0903

09-12-03Medical EligibilityMedical Eligibility Nephrotic Syndrome
12-080308-21-03EligibilityImplementation of Assembly Bill (AB) 495; Expansion of Children’s Health Insurance Coverage
11-070307-24-03HIPAANotice 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.

10-0703

08-15-03GatewayChild Health and Disability Prevention (CHDP) Program Gateway
09-070308-08-03Durable Medical EquipmentRevised 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.
08-070307-11-03Medical Supplies

Authorization for Purchase of Incontinence Medical Supplies (IMS)


NOTE: This letter is the corrected version.
This letter supersedes CCS N.L. 06-0492.

07-050305-15-03Medical EligibilityInjuries to Joints and Tendons Policy Clarification
NOTE: This letter supersedes CCS N.L. 08-0501.
06-040307-31-03BenefitsHigh Risk Infant Follow-Up (HRIF) Program Services
NOTE: This letter supersedes CCS N.L. 09-0902.
05-040304-14-03HIPAANotice of Privacy Practices for CCS Clients; Compliance with Health Insurance Portability and Accountability Act Privacy Rule
NOTE: This letter is superseded by CCS Number Letter 11-0703.
04-040304-14-03HIPAA-Notice of Privacy Practices for CCS Medical Therapy Program; Compliance with Health Insurance Portability and Accountability Act Privacy Rule
03-030303-25-03Program EligibilityUpdate of Table 1 (Family Size and Annual Income Level Chart) - Chapter 6 - CCS Residential and Financial Eligibility - Medi-Cal Year 2003 Federal Poverty Level Chart
02-020307-11-03Program EligibilityCalifornia Children's Services (CCS) Policies Relating to Healthy Families Eligible Children
01-020302-11-03-Palivizumab (Synagis™)
NOTE: This letter supersedes CCS N.L. 13-0999.

 

 

2002

 

NumberRelease DateIndex CategoryTitle (Subject) of Letter
12-120212-20-02Program EligibilityCCS Financial Eligibility Policy Regarding Native American Indians

11-1002

10-31-02BenefitsOutpatient Mental Health Services as CCS Benefits
10-100210-25-02-Designation of CCS Staff for Obtaining Healthy Families Eligibility Information from the Managed Risk Medical Insurance Board (MRMIB)
09-090209-13-02BenefitsHigh Risk Infant Follow-up (HRIF) Program Services
NOTE: This letter is superseded by CCS N.L. 06-0403.
08-0802 08-30-02BenefitsTwo 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.
05-050205-15-02Medical EligibilityMedical 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.
04-040204-18-02Program Eligibility

CCS Policy Related to the Implementation of SB 344; Posting the CCS Application on the Department of Health Services (DHS) Website

03-030203-11-02Program Eligibility

Update of Table 1 (Family Size and Annual Income Level Chart) - Chapter 6 - CCS Residential and Financial Eligibility - Medi-Cal Year 2002 Federal Poverty Level Chart

02-010201-31-02Benefits

Pulse Oximeters
NOTE: This letter supersedes CCS N.L. 01-0191.

01-010201-18-02Benefits

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

 

NumberRelease DateIndex CategoryTitle (Subject) of Letter
21-110111-30-01BenefitsPulmozyme (Dornase Fulfate)
NOTE: This letter supersedes CCS N.L. 06-0195.
20-110111-06-01Program EligibilityCCS Financial Policy Regarding Clients whose Annual Adjusted Gross Income is Below 200 Percent of the Federal Income Guidelines but the Current Enrollment Fee Scale Indicates a Fee is to be Charged
19-090109-24-01Program EligibilityCCS Residential Policy Regarding Persons Here on a Visa or Other Temporary Entry Permit
18-090110-17-01Medical Therapy ProgramReimbursement 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)
17-090109-07-01-Policy and Guidelines for Identifying, Documenting, Claiming, and Reporting Healthy Families (HF) Subscriber Cases when the Family's Annual Adjusted Gross Income is Greater than $40,000
16-080103-18-02BenefitsMaintenance and Transportation to Assist CCS Clients in Accessing CCS Authorized Medical Services
NOTE: This letter is superseded by CCS N.L. 01-0104.
15-0801--Medical Nutrition Assessment and Medical Nutrition Therapy for Children with CCS Medical Eligible Conditions
14-080108-17-01Medical Therapy ProgramSynthesized Speech Augmentative Communication (SSAC) Devices (Formerly Known as Augmentative/Alternative Communication (AAC) Devices)
NOTE: This letter supersedes CCS N.L. 05-0397.
13-0701 (PDF, 13.96MB)07-16-01Medical Therapy ProgramRevised Interagency Agreement (IAA) Between the CMS Branch and the California Department of Education (CDE), Special Education Division (SED)
12-070107-10-01Medical EligibilityChildren at Risk for Human Immunodeficiency Virus (HIV) Infection
NOTE: This letter supersedes CCS N.L. 01-0195.
11-060106-12-01-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.
10-050105-31-01Medical EligibilityKawasaki Disease
09-050105-11-01-Electronic billing
08-0501SupersededSupersededJoint Injuries - Policy Clarification
NOTE: This letter is superseded by CCS N.L. 07-0503.
07-0401 (Corrected 2)02-22-13EligibilityCriteria for Assignment of CCS Unique Aid Codes to CCS Eligible Children
06-0301 04-27-01-Revision of CCS/Genetically Handicapped Persons Program Panel Applications
NOTE: This letter is the corrected version.
04-030103-16-01Program AdministrationElectronic claiming
03-030103-27-01-Update of Table 1 (Family Size and Annual Income Level Chart) - Chapter 6 - CCS Residential and Financial Eligibility - Medi-Cal Year 2001 Federal Poverty Level Chart
02-030103-9-01-Implementation of Section 14133.05 of the Welfare and Institutions Code Regarding Treatment Authorizations
01-030103-5-01-Instructions for Completion of the "State-Approved 100 Percent State-Funded Staff Allocation for County Medical Therapy Programs" Form
NOTE: This letter supersedes CCS N.L. 20-0898.

​ 

2000

 

NumberRelease DateIndex CategoryTitle (Subject) of Letter
12-1700 (PDF, 5.02MB)03-16-01BenefitsCCS/GHPP Rate Increases for Dental Services
NOTE: This letter is the corrected version.
11-160012-07-00Medical Therapy ProgramDuplication of Physician or Therapy Services Being Provided Through the California Children's Services (CCS)/Medical Therapy Program (MTP)
11-150011-27-00Medical EligibilityVerifying Residential Eligibility for Children who are Medi-Cal Full Scope or Healthy Families (HF) Eligible
11-1100--Medical Nutrition Assessment and Medical Nutrition Therapy for Children with CCS Medical Eligible Conditions
10-140011-28-00BenefitsCCS Rate Increases for Medical Services
10-130011-14-00BenefitsAuthorization of Audiology Services
10-120011-14-00BenefitsNon-Conventional Hearing Aids
(Superseded by 12-0605 and 07-1011)
10-1000--Ketogonic Diet for Refractory Surgeries as a CCS Benefit Provided by Registered Dieticians
09-090012-18-00BenefitsCochlear Implants
NOTE: This letter supersedes CCS N.Lr 02-0796 and supplemented by CCS N.L. 14-1003
08-090012-28-00Benefits

CCS Special Care Center (SCC) Services

NOTE: This letter is superseded by CCS N.L. 01-0108

07-070009-20-00-By Report Dental Procedure Reimbursement Fees
NOTE: This letter supersedes CCS N.L 11-0291.
06-0600--Duplication of Physician or Therapy Services Being Provided Through the California Children's Services (CCS)/Medical Therapy Program (MTP)
05-050007-21-00Medical EligibilityCCS Medical Eligibility Regulations
NOTE: This letter supersedes CCS N.L. 06-0599.
04-040007-11-00BenefitsCase Management of Medi-Cal Eligible Beneficiaries with a CCS-Eligible Condition Enrolled in a Medi-Cal Managed Care Plan
03-0300SupersededSupersededCCS 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 is superseded by CCS N.L. 11-0601.
02-0200--Medical Nutrition Assessment and Medical Nutrition Therapy for Children with CCS Medical Eligible Conditions
01-0200--Indicators for Social Work and Psychologists Services for CCS and GHPP Clients

  

1999

 

NumberRelease DateIndex CategoryTitle (Subject) of Letter
22-129912-23-99Medical Therapy ProgramCalifornia Children's Services (CCS) Medical Therapy Unit (MTU) List
NOTE: The enclosure is not available online.
21-129912-16-99BenefitsAuthorization of Services for Children with Hearing Loss
20-129912-16-99BenefitsAuthorization of Diagnostic Services for Infants Referred through the California Newborn Hearing Screening Program (NHSP)
19-1299--CCS Policy Regarding the Requirement that All CCS Applicants Shall Make Application to the Medi-Cal Program; Health and Safety Code Section 123995
18-1199--Presumptive Approval for Board Certified Physician Providers in Medi-Cal Managed Care (MMC) or Healthy Families (HF) Plans
17-119901-14-00BenefitsAutomobile Orthopedic Positioning Devices (AOPDS)
16-109911-5-99BenefitsDental Benefits for California Children's Services (CCS) Clients
NOTE: The enclosures are not available online.
15-1099--Funding Social Work and Psychologist Services for CCS and GHPP Clients
14-1099 --Indicators for Social Work and Psychologists Services for CCS and GHPP Clients 
13-0999SupersededSupersededPalivizumab (Synagis)
NOTE: This letter is superseded by CCS N.L. 01-0203.
12-099910-20-99BenefitsRequest for Audiology Services
(Superseded by 12-0605 and 13-0605)
11-0999SupersededSupersededCCS Medical Eligibility Regulations (R-40-92e)
NOTE: This letter is superseded by CCS N.L. 05-0502.
10-089909-10-99-Communication Disorder Center (CDC) Standards
NOTE: View the most current version of the enclosure (CDC Standards).
09-089908-12-99BenefitsNew Medical Treatment Modalities/Interventions which are not Established California Children's Services (CCS) Program Benefits
08-079910-29-99BenefitsContinuous Subcutaneous Insulin Infusion (CSII) or "Insulin Pump" Therapy for Type I Diabetes Mellitus
NOTE: This letter is superseded by CCS N.L. 01-0111.
07-209907-20-99-Infant Hearing Screening Program (NHSP) - Infant Hearing Screening Provider Standards
06-059905-19-99Medical EligibilityMedical Eligibility Regulations
NOTE: This letter is superseded by CCS N.L. 05-0500.
05-039903-30-99BenefitsMedical Foods as a CCS/GHPP Benefit
04-039903-30-99BenefitsNutrition Products as a CCS/GHPP Benefit
NOTE: This letter supersedes CCS N.L. 38-1292.
03-029902-11-99-Medi-Cal Dental Bulletin and Processing of Medi-Cal Dental Claims for CCS/Full Scope, No Share of Cost Medi-Cal Beneficiaries Case Managed and Services Authorized by the CCS Program
02-029903-10-99BenefitsMedical Nutrition Assessment and Medical Nutrition Therapy for Children with CCS Medical Eligible Conditions
01-029902-19-99-Healthy Families (HF) Program Referrals to the California Children's Services (CCS) Program
NOTE: This letter supersedes CCS N.L. 07-0598.

 

1998

 

NumberRelease DateIndex CategoryTitle (Subject) of Letter
29-129801-01-99StandardsCCS Pediatric Intensive Care Unit (PICU) Standards
28-129801-01-99StandardsCCS Neonatal Intensive Care Unit (NICU) Standards
27-129801-01-99StandardsCCS Hospital Standards
26-129812-30-98EPSDT Supplemental ServicesCCS Responsibilities for Case Management of Shared Medi-Cal-Eligible Beneficiaries Who Are Receiving Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Supplemental Long-Term Nursing Services Through Medi-Cal In-Home Operations (IHO)
20-0898 SupersededSupersededNOTE: This letter has been superseded by CCS N.L. 01-0301.
07-0598SupersededSupersededNOTE: This letter has been superseded by CCS N.L. 01-0299.

 

 

1997

 

NumberRelease DateIndex CategoryTitle (Subject) of Letter
20-099709-10-97Case ManagementCase 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

05-0397SupersededSupersededAugmentative/Alternative Communication Devices
NOTE: This letter has been superseded by CCS N.L. 14-0801.

02-0197

01-16-97

Durable Medical Equipment

Authorization of Flutter Valves and ThAIRapy Vests

 

 

1996

 

NumberRelease DateIndex CategoryTitle (Subject) of Letter

10-1096

 

 

10-15-96

Medi-Cal Managed Care

CCS Responsibilities for Case Management of Medi-Cal Eligible Beneficiaries
02-0796SupersededSupersededNOTE: This letter is superseded by CCS N.L. 09-0900.

 

 

1995

 

NumberRelease DateIndex CategoryTitle (Subject) of Letter
19-079507-31-95LawsNew Law Allowing Caregivers to Authorize Health Care Including Medical and Dental Treatment for a Minor

08-0495

04-19-95

Drugs

Gonadotropin Releasing Hormone (GnRH)-agonist Analogues

06-0195SupersededSupersededNOTE: This letter has been superseded by CCS N.L. 21-1101.
03-019501-20-95AppealsTracking First-Level Appeals
01-0195SupersededSupersededNOTE: This letter has been superseded by CCS N.L. 12-0701.

 

 

1994

 

NumberRelease DateIndex CategoryTitle (Subject) of Letter

43-1194

11-14-94

Medical Therapy Unit

Utilization Review for Outpatient Rehabilitation Center Certification

 35-0994 (PDF, 3.59MB)10-05-94BudgetRevised Diagnostic, Treatment, and Therapy Expenditure Claim Forms for Counties Using the Department of Health Services' Fiscal Intermediary
NOTE: See CCS Information Notice 05-14 for current forms.
34-099409-24-94Medical Therapy ProgramDesignation of a New Identifier to Capture Costs Related to the Medical Therapy Program (MTP)
18-059405-12-94AppealsAppeal Guidelines
06-039403-10-94InsuranceRequired Use of Health Insurance

 

 

1993

 

NumberRelease DateIndex CategoryTitle (Subject) of Letter
 33-1293 (PDF, 3.21MB)12-08-93BudgetRevised Diagnostic, Treatment, and Therapy Expenditure Claim Forms for Independent Counties
NOTE: See CCS Information Notice 05-14 for current forms.

 

 

1992

 

NumberRelease DateIndex CategoryTitle (Subject) of Letter

 37-1292

12-10-1992

Experimental/ Investigational Services

Coverage of Experimental and/or Investigational Services

29-1092

 

10-07-1992

RehabilitationRehabilitation Facilities Admission Criteria

 


 

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Last modified date: 11/26/2019 9:10 AM