California Children’s Services Whole Child Model
Senate Bill (SB) 586 authorizes the Department of Health Care Services (DHCS) to establish the Whole Child Model (WCM) program in designated County Organized Health System (COHS) or Regional Health Authority counties to incorporate California Children’s Services (CCS) program covered services for Medi-Cal eligible CCS children and youth into a Medi-Cal managed care plan (MCP) contract. DHCS has developed a “Whole Child Model” to be implemented in 21 specified counties, no sooner than July 2018. The results are improved care coordination for primary, specialty, and behavioral health services for CCS and non-CCS conditions. The benefits are consistent with CCS program standards and provided by CCS paneled providers, specialty care centers, and pediatric acute care hospitals. WCM approach meets the six goals for CCS Redesign:
The approach is consistent with the primary goals of providing comprehensive treatment and focusing on the whole child, including the child’s full range of needs rather than only on the CCS health condition.
There are 21 counties and 5 health plans that will participate in the WCM.
||Central California Alliance for Health
||Health Plan of San Mateo
||Partnership HealthPlan of California|
San Luis Obispo, Santa Barbara
Merced, Monterey, Santa Cruz
||Del Norte, Humboldt, Lake, Lassen, Marin, Mendocino, Modoc, Napa, Siskiyou, Shasta, Solano, Sonoma, Trinity, Yolo|
Resources and Information
Whole Child Model Documents
Whole Child Model Overview PowerPoint (English) (Spanish) (October 2018)
Any comments, questions, or suggestions regarding the CCS stakeholder process or the Whole-Child Model or requests to be added to the CCS stakeholder e-mail distribution list can be submitted to CCSRedesign@dhcs.ca.gov.