​​​​​​​High Risk Infant Follow-Up 

Overview
Becoming a CCS-Paneled HRIF Provider
Program Reporting Requirements and Forms
HRIF Program Letters
HRIF Directory Updates

Resources
Contact Us

Overview​​​

The California Children's Services (CCS) High Risk Infant Follow-Up (HRIF) program was established to identify infants who might develop CCS-eligible conditions after discharge from a CCS-approved Neonatal Intensive Care Unit (NICU). CCS Program standards require that each CCS-approved NICU must have an organized program or a written agreement with another CCS-approved HRIF Program to ensure the follow-up of discharged high risk infants.

The CCS Program’s goal of identifying infants who may develop a CCS-eligible medical condition provides for a number of diagnostic services for children up to three years of age. The following are reimbursable diagnostic services:

• Comprehensive history and physical examination with neurologic assessment;
• Developmental assessment (Bayley Scales of Infant Development [BSID] or an equivalent test);
• Family psychosocial assessment;
• Hearing assessment;
• Ophthalmologic assessment; and
• Coordinator services (including assisting families in accessing identified, needed interventions and facilitating linkages to other agencies and services).

Becoming a CCS-Paneled HRIF Provider

All HRIF services are provided by a multidisciplinary team including, but not limited, to a Medical Director (Pediatrician or Neonatologist), Social Worker, Ophthalmologist, Audiologist, an HRIF Coordinator, and an individual to perform the developmental assessment.

All members of the HRIF multidisciplinary team require CCS paneling except a Pediatric Nurse Practitioner (PNP), unless functioning as the HRIF Coordinator.  The HRIF Coordinator must be CCS-paneled.

Information regarding paneling and the online application can be found at: Becoming a California Children's Services Provider

Program Reporting Requirements and Forms

The California Children Services (CCS)/California Perinatal Quality Care Collaborative (CPQCC) High Risk Infant Follow-up (HRIF) Quality of Care Initiative (QCI) has developed a web based reporting system for CCS HRIF-eligible clients.  CCS HRIF Programs are required to submit reports to CPQCC using the online HRIF Reporting System. 

If you are unable to sign in to the CCS HRIF Reporting System, contact:

Erika Gray, HRIF QCI Project Manager
California Perinatal Quality Care Collaborative (CPQCC)
Phone (650) 725-1306
Email: eegray@stanford.edu

HRIF Program Letters

HRIF Directory U​pdates

Staffing changes and annual directory updates can be made on the CCS Special Care Center Directory Update Sheet (DHCS 4507).

HRIF Special Care Center numbers can be obtained at:

• High Risk follow-Up (Community)
• High Risk Follow-Up (Regional) 
  

Request fo​​r Application # 22-20077

High Risk Infant Follo​​​​​​w-up Quality of Care Initiative

The California (CA) Department of Health Care Services (DHCS), California Children's Services (CCS) Program, administered by the Integrated Systems of Care Division (ISCD), is requesting applications from select organizations to provide and participate in the maintenance of the infrastructure and implementation of the High Risk Infant Follow-up (HRIF) Quality of Care Initiative (QCI) which has been developed by the California Perinatal Quality of Care Collaborative (CPQCC). With the availability of funds, this HRIF QCI Request for Application (RFA) is a formal solicitation for applications from organizations which have the capability to perform the requirements outlined in the section entitled Scope of Work (SOW) (Exhibit A).

The DHCS ISCD is responsible for administering five statewide programs: 

1. CCS Program;
2. Child Health and Disability Prevention (CHDP) Program, which includes the Health Care Program for Children in Foster Care (HCPCFC); 
3. Newborn Hearing Screening Program (NHSP); 
4. Genetically Handicapped Persons Program (GHPP); and 5) Hearing Conservation Program (HCP).
   

​The CCS Program includes the HRIF Program and the Medical Therapy Program (MTP). The CCS Program provides a full range of diagnostic and treatment services for children under twenty-one (21) years of age with CCS-eligible medical conditions. Services include hospital and physician care, laboratory and X-ray, durable medical equipment, pharmacy, home health, home infusion, multi-specialty and multidisciplinary team care, orthodontic services for severe malocclusion, physical and occupational therapy, case management services and assistance in traveling to health care services. The CCS Program is administered as a partnership between county health departments and CA's DHCS.

​The CCS HRIF Program started in the late 1970's to identify children who might develop CCS-eligible conditions after discharge from a CCS-approved Neonatal Intensive Care Unit (NICU). CCS Program standards require that each CCS-approved NICU ensures the follow- up of discharged high risk infants and that each NICU shall either have an organized program or a written agreement for provision of these services by another CCS-approved NICU. The HRIF programs are considered outpatient CCS Special Care Centers (SCC) and provide a limited number of core diagnostic services for infants up to three years of age. The following diagnostic services are reimbursable for CCS HRIF programs: 1) an interim comprehensive history and physical examination, including neurologic assessment; 2) a developmental assessment; 3) a family psychosocial assessment; 4) a hearing evaluation; and 5) an ophthalmologic assessment.​

Proposed Award Schedule

Below is the tentative award schedule for this procurement. All applicants are advised of the following schedule and will be expected to adhere to the required dates and time lines.

To request the RFA PDF please email:   HearingConservationProgram@dhcs.ca.gov​

​ Resour​ces

• Frequently Asked Questions (April 2020)​

Contact Us

For questions, please contact us at the address or email below:

California Department of Health Care Services
Integrated Systems of Care Division
Provider and Facility Site Reviews Unit
P.O. Box 997437, MS 4502
Sacramento, CA 95899-7437

Email: CCSFacilityReview@dhcs.ca.gov

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