CCS Numbered Letters

Web Page Updates

There are new requirements for posting documents on a state government website. The Department of Health Care Services is reviewing all webpages and documents. As a result, some of the links or webpages are removed or temporarily unavailable. Please bear with us during this process.

When making a request for an ISCD document or webpage, please email ISCDWebpageInquiries@dhcs.ca.gov and include the Uniform Resource Locator (URL) of the requested document or webpage.

URL Examples:

Thank you for your patience and understanding.

Download the latest version of Adobe Acrobat Reader to view or print these documents. Sign up for e-mail notices (LISTSERV) when CMS Branch letters are posted.

2014 | 2013 | 2012 | 2011 | 2010 | 2009 | 2008 | 2007 | 2006 | 2005 | 2004 | 2003 | 2002 | 2001 | 2000 | 1999 | 1998 | 1997 | 1996 | 1995 | 1994 | 1993

2020

Number	Release Date	Index Category	Title (Subject) of Letter
04-0520	5-15-20	Benefits	Early and Periodic Screening, Diagnostic, and Treatment – Private Duty Nursing Case Management Services
03-0120	1-23-20	Benefits	Authorization Criteria for Selective Dorsal Rhizotomy
02-0120	1-9-20	Benefits	Deflazacort (Emflaza) - authorization Criteria (Revised) Note: Supersedes CCS N.L. 15-1217
01-0120	1-7-20	Benefits	Authorization of Enteral Formula, Nutrition Additives/Modulars. and Related Supplies Note: Supersedes CCS N.L. 04-0317, 08-0718

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
08-1119	11-7-19	Benefits	CCS/GHPP Policy on Palynziq (pegvaliase-pqpz)
07-1019	10-31-19	Benefits	Tisagenlecleucel (Kymriah) - REVISED Note: Supersedes CCS N.L. 07-1018
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	10-18-19	Medical 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 Date	Index Category	Title (Subject) of Letter
16-1218	04-9-18	Benefits	Palliative Care Options for CCS Eligible Children (REVISED)
15-0818	09-19-18	Benefits	Chapter 3.38 - Neuromuscular Medicine
14-0818	09-18-18	Benefits	Continuous Glucose Monitoring (CGM)

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
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	Benefits	Authorization 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	Eteplirsen (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

Number	Release Date	Index 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	Benefits	IVACAFTOR (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 Children'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	Benefits	LUMACAFTOR/IVACAFTOR(ORKAMBI™) - REVISED

2016

Number	Release Date	Index Category	Title (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

Number	Release Date	Index Category	Title (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 Cochlear Implant Evaluation Request Form (Attachment 1) and Cochlear Implant Evaluation Results and Surgical Request Form (Attachment 2) Child Cochlear Implant Profile (CHIP) Rating Form Request Checklist Form (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

Number	Release Date	Index Category	Title (Subject) of Letter
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
10-0514	06-10-14	Benefits	IVACAFTOR (KALYDECO™)-EXPANDED INDICATION FOR USE
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

Number	Release Date	Index Category	Title (Subject) of Letter
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
10-1113	01-23-14	Benefits	High Risk Infant Follow-Up (HRIF) Program Services Note: Numbered Letter: 10-1113 Supersedes CCS Numbered Letter 09-0606
04-0613	09-30-13	Benefits	Dental 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

Number	Release Date	Index Category	Title (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 Date	Index Category	Title (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 superseded by N.L. 02-0413
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

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

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

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

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	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

Number	Release Date	Index Category	Title (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

Number	Release Date	Index Category	Title (Subject) of Letter
15-1206	12-14-06	Eligibility	Supplement to Numbered Letter (NL): 12-1006 and Healthy Families Statement of Annual Income
13-1106	11-27-06	Benefits	Cochlear Implant Speech Processor Upgrades
12-1006	10-26-06	Eligibility	Updated CCS Policies Relating to Children who are Healthy Families Subscribers
11-1006	10/17/06	Benefits	PALIVIZUMAB (SYNAGIS™)
10-0806	08/30/06	Benefits	Authorization of Emergency Services Related to Trauma
09-0606	06/09/06	Benefits	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
07-0506	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
04-0306	3/30/06	Financial Eligibility	Update 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
03-0206	05/01/06	Authorizations	Neonatal Intensive Care Unit (NICU) Authorizations NOTE: Superseded by N.L. 04-0511
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

Number	Release Date	Index Category	Title (Subject) of Letter
30-1205	12-27-05	Benefits	Benefits 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)
29-1105	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
27-1005	10-06-05	Benefits	Palivizumab (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
24-0905	09-20-05	Eligibility	CCS 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
23-0905	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.
22-0805	08-12-05	Benefits	Enteral Nutrition Products as a CCS Benefit and Request for Enteral Nutrition Product(s) (Form) NOTE: This letter supersedes CCS N.L. 04-0399.
21-0705	07-22-05	Benefits	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
19-0605	07-08-05	Eligibility	CCS/Healthy Families (HF) Subscribers Deemed Financially Eligible for CCS and Correction of Errors in Monthly County Expenditure Reports
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
17-0605	06-13-05	Benefits	Authorization of Radiology Services as Early Periodic Screening Diagnosis and Treatment Supplemental Services (EPSDT SS)
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
08-0505	05-26-05	Benefits	Authorization 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)	05-06-05	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
04-0305	03-18-05	Financial Eligibility	Update 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
03-0205	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

Number	Release Date	Index Category	Title (Subject) of Letter
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.
05-0904	09-10-04	Benefits	PALIVIZUMAB (SYNAGIS™) NOTE: This letter supersedes CCS N.L. 01-0203.
04-0604	06-29-04	Enhancement 47	CCS E47 System Temporary Dual Procedure
04-07	04-12-04		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
03-0104	01-23-04	Medical 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
02-0104	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
14-1003	10-02-03	Benefits	Additional 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	09-12-03	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.
10-0703	08-15-03	Gateway	Child Health and Disability Prevention (CHDP) Program Gateway
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.
08-0703	07-11-03	Medical Supplies	Authorization for Purchase of Incontinence Medical Supplies (IMS) NOTE: This letter is the corrected version. This letter supersedes CCS N.L. 06-0492.
07-0503	05-15-03	Medical Eligibility	Injuries to Joints and Tendons Policy Clarification NOTE: This letter supersedes CCS N.L. 08-0501.
06-0403	07-31-03	Benefits	High Risk Infant Follow-Up (HRIF) Program Services NOTE: This letter supersedes CCS N.L. 09-0902.
05-0403	04-14-03	HIPAA	Notice 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.
04-0403	04-14-03	HIPAA-	Notice of Privacy Practices for CCS Medical Therapy Program; Compliance with Health Insurance Portability and Accountability Act Privacy Rule
03-0303	03-25-03	Program Eligibility	Update 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
02-0203	07-11-03	Program Eligibility	California Children's Services (CCS) Policies Relating to Healthy Families Eligible Children
01-0203	02-11-03	-	PALIVIZUMAB (SYNAGIS™) NOTE: This letter supersedes CCS N.L. 13-0999.

2002

Number	Release Date	Index Category	Title (Subject) of Letter
12-1202	12-20-02	Program Eligibility	CCS Financial Eligibility Policy Regarding Native American Indians
11-1002	10-31-02	Benefits	Outpatient Mental Health Services as CCS Benefits
10-1002	10-25-02	-	Designation of CCS Staff for Obtaining Healthy Families Eligibility Information from the Managed Risk Medical Insurance Board (MRMIB)
09-0902	09-13-02	Benefits	High Risk Infant Follow-up (HRIF) Program Services NOTE: This letter is superseded by CCS N.L. 06-0403.
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.
04-0402	04-18-02	Program Eligibility	CCS Policy Related to the Implementation of SB 344; Posting the CCS Application on the Department of Health Services (DHS) Website
03-0302	03-11-02	Program 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
02-0102	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
21-1101	11-30-01	Benefits	Pulmozyme (Dornase Fulfate) NOTE: This letter supersedes CCS N.L. 06-0195.
20-1101	11-06-01	Program Eligibility	CCS 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
19-0901	09-24-01	Program Eligibility	CCS Residential Policy Regarding Persons Here on a Visa or Other Temporary Entry Permit
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)
17-0901	09-07-01	-	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
16-0801	03-18-02	Benefits	Maintenance 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
14-0801	08-17-01	Medical Therapy Program	Synthesized 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)	07-16-01	Medical Therapy Program	Revised Interagency Agreement (IAA) Between the CMS Branch and the California Department of Education (CDE), Special Education Division (SED)
12-0701	07-10-01	Medical Eligibility	Children at Risk for Human Immunodeficiency Virus (HIV) Infection NOTE: This letter supersedes CCS N.L. 01-0195.
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.
10-0501	05-31-01	Medical Eligibility	Kawasaki Disease
09-0501	05-11-01	-	Electronic billing
08-0501	Superseded	Superseded	Joint Injuries - Policy Clarification NOTE: This letter is superseded by CCS N.L. 07-0503.
07-0401 (Corrected 2)	02-22-13	Eligibility	Criteria 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.
04-0301	03-16-01	Program Administration	Electronic claiming
03-0301	03-27-01	-	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
02-0301	03-9-01	-	Implementation of Section 14133.05 of the Welfare and Institutions Code Regarding Treatment Authorizations
01-0301	03-5-01	-	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

Number	Release Date	Index Category	Title (Subject) of Letter
12-1700 (PDF, 5.02MB)	03-16-01	Benefits	CCS/GHPP Rate Increases for Dental Services NOTE: This letter is the corrected version.
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
11-1100	-	-	Medical Nutrition Assessment and Medical Nutrition Therapy for Children with CCS Medical Eligible Conditions
10-1400	11-28-00	Benefits	CCS Rate Increases for Medical Services
10-1300	11-14-00	Benefits	Authorization of Audiology Services
10-1200	11-14-00	Benefits	Non-Conventional Hearing Aids (Superseded by 12-0605 and 07-1011)
10-1000	-	-	Ketogenic Diet for Refractory Surgeries as a CCS Benefit Provided by Registered Dieticians
09-0900	12-18-00	Benefits	Cochlear Implants NOTE: This letter supersedes CCS N.Lr 02-0796 and supplemented by CCS N.L. 14-1003.
08-0900	12-28-00	Benefits	CCS Special Care Center (SCC) Services NOTE: This letter is superseded by CCS N.L. 01-0108
07-0700	09-20-00	-	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)
05-0500	07-21-00	Medical Eligibility	CCS Medical Eligibility Regulations NOTE: This letter supersedes CCS N.L. 06-0599.
04-0400	07-11-00	Benefits	Case Management of Medi-Cal Eligible Beneficiaries with a CCS-Eligible Condition Enrolled in a Medi-Cal Managed Care Plan
03-0300	Superseded	Superseded	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 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

Number	Release Date	Index Category	Title (Subject) of Letter
22-1299	12-23-99	Medical Therapy Program	California Children's Services (CCS) Medical Therapy Unit (MTU) List NOTE: The enclosure is not available online.
21-1299	12-16-99	Benefits	Authorization of Services for Children with Hearing Loss
20-1299	12-16-99	Benefits	Authorization 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
17-1199	01-14-00	Benefits	Automobile Orthopedic Positioning Devices (AOPDS)
16-1099	11-5-99	Benefits	Dental 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
13-0999	Superseded	Superseded	Palivizumab (Synagis) NOTE: This letter is superseded by CCS N.L. 01-0203.
12-0999	10-20-99	Benefits	Request for Audiology Services (Superseded by 12-0605 and 13-0605)
11-0999	Superseded	Superseded	CCS Medical Eligibility Regulations (R-40-92e) NOTE: This letter is superseded by CCS N.L. 05-0502.
10-0899	09-10-99	-	Communication Disorder Center (CDC) Standards NOTE: View the most current version of the enclosure (CDC Standards).
09-0899	08-12-99	Benefits	New Medical Treatment Modalities/Interventions which are not Established California Children's Services (CCS) Program Benefits
08-0799	10-29-99	Benefits	Continuous Subcutaneous Insulin Infusion (CSII) or "Insulin Pump" Therapy for Type I Diabetes Mellitus NOTE: This letter is superseded by CCS N.L. 01-0111.
07-2099	07-20-99	-	Infant Hearing Screening Program (NHSP) - Infant Hearing Screening Provider Standards
06-0599	05-19-99	Medical Eligibility	Medical Eligibility Regulations NOTE: This letter is superseded by CCS N.L. 05-0500.
05-0399	03-30-99	Benefits	Medical Foods as a CCS/GHPP Benefit
04-0399	03-30-99	Benefits	Nutrition Products as a CCS/GHPP Benefit NOTE: This letter supersedes CCS N.L. 38-1292.
03-0299	02-11-99	-	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
02-0299	03-10-99	Benefits	Medical Nutrition Assessment and Medical Nutrition Therapy for Children with CCS Medical Eligible Conditions
01-0299	02-19-99	-	Healthy Families (HF) Program Referrals to the California Children's Services (CCS) Program NOTE: This letter supersedes CCS N.L. 07-0598.

1998

Number	Release Date	Index Category	Title (Subject) of Letter
29-1298	01-01-99	Standards	CCS Pediatric Intensive Care Unit (PICU) Standards
28-1298	01-01-99	Standards	CCS Neonatal Intensive Care Unit (NICU) Standards
27-1298	01-01-99	Standards	CCS Hospital Standards
26-1298	12-30-98	EPSDT Supplemental Services	CCS 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	Superseded	Superseded	NOTE: This letter has been superseded by CCS N.L. 01-0301.
07-0598	Superseded	Superseded	NOTE: This letter has been superseded by CCS N.L. 01-0299.

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
05-0397	Superseded	Superseded	Augmentative/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

Number	Release Date	Index Category	Title (Subject) of Letter
10-1096	10-15-96	Medi-Cal Managed Care	CCS Responsibilities for Case Management of Medi-Cal Eligible Beneficiaries
02-0796	Superseded	Superseded	NOTE: This letter is superseded by CCS N.L. 09-0900.

1995

Number	Release Date	Index Category	Title (Subject) of Letter
19-0795	07-31-95	Laws	New 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
06-0195	Superseded	Superseded	NOTE: This letter has been superseded by CCS N.L. 21-1101.
03-0195	01-20-95	Appeals	Tracking First-Level Appeals
01-0195	Superseded	Superseded	NOTE: This letter has been superseded by CCS N.L. 12-0701.

1994

Number	Release Date	Index Category	Title (Subject) of Letter
43-1194	11-14-94	Medical Therapy Unit	Utilization Review for Outpatient Rehabilitation Center Certification
35-0994 (PDF, 3.59MB)	10-05-94	Budget	Revised 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.
34-0994	09-24-94	Medical Therapy Program	Designation of a New Identifier to Capture Costs Related to the Medical Therapy Program (MTP)
18-0594	05-12-94	Appeals	Appeal Guidelines
06-0394	03-10-94	Insurance	Required Use of Health Insurance

1993

Number	Release Date	Index Category	Title (Subject) of Letter
33-1293 (PDF, 3.21MB)	12-08-93	Budget	Revised Diagnostic, Treatment, and Therapy Expenditure Claim Forms for Independent Counties NOTE: See CCS Information Notice 05-14 for current forms.

1992

Number	Release Date	Index Category	Title (Subject) of Letter
37-1292	12-10-1992	Experimental/ Investigational Services	Coverage of Experimental and/or Investigational Services
29-1092	10-07-1992	Rehabilitation	Rehabilitation Facilities Admission Criteria

Last modified date: 7/9/2020 2:14 PM

​​​​​​​​​​​​​​​​​​CCS Numbered Letters

Web Page Updates

2020

2019

2018

​​2017

2016

2015

2014

2013

2012

2011

2010

2009

2008

2007

2006

2005

2004

2003

2002

2001

2000

1999

1998

1997

1996

1995

1994

1993

1992

CCS Numbered Letters

2017