CHDP Program Overview
The CHDP program provides complete health assessments for the early detection and prevention of disease and disabilities for low-income children and youth. A health assessment consists of a health history, physical examination, developmental assessment, nutritional assessment, dental assessment, vision and hearing tests, a tuberculin test, laboratory tests, immunizations, health education/anticipatory guidance, and referral for any needed diagnosis and treatment.
The CHDP program oversees the screening and follow-up components of the federally mandated Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program for Medi-Cal eligible children and youth.
In July 2003, the CHDP program began the using the "CHDP Gateway,"an automated pre-enrollment process for non Medi-Cal, uninsured children. The CHDP Gateway , serves as the entry point for these children to enroll in ongoing health care coverage through Medi-Cal or the Healthy Families program. The CHDP Gateway is based on federal law found in Titles XIX and XXI of the Social Security Act that allows states to establish presumptive eligibility programs for children/youth.
Enabling legislation of the CHDP program
- Reference: Health and Safety Code, Sections 104395, 105300, 105305, 120475, and 124025 through 124110 CHDP program regulations that implement, interpret, or make specific the enabling legislation.
- Reference: California Code of Regulations (CCR), Title 17, Sections 6800 through 6874. Medi-Cal regulations pertaining to the availability and reimbursement of EPSDT services through the CHDP program.
- Reference: CCR, Title 22, Sections 51340 and 51532.
The Program is operated at the local level by local health departments for each county and three cities.
Local CHDP programs carry out community activities which include planning, evaluation and monitoring, case management, informing, providing health education materials, provider recruitment, quality assurance, and client support services such as assistance with transportation and medical, dental, and mental health appointment scheduling and encouraging the completion of an application for ongoing health care coverage. Local CHDP programs are also responsible for oversight of the Health Care Program for Children in Foster Care (HCPCFC).
The CHDP Program is responsible for resource and provider development to ensure that high quality services are delivered and available to eligible children/youth. The program informs the target populations to increase their participation; and community agencies and residents to increase the knowledge and acceptance of preventive services.
- Target population, health assessments, and active CHDP providers form the basis for each CHDP local program's fiscal year funding from the annual state appropriation for CHDP
- Funding for county/city CHDP administrative and operational costs is based on budgets prepared by the CHDP local program and approved by the CMS Branch
- Medi-Cal children/youth under age 21 receive services under the Federal Title XIX program known as the EPSDT program. The EPSDT program is part of the Medi-Cal program and is funded by state general and federal funds.
- Low-income children/youth under age 19 with family incomes up to 200 percent of the federal income guidelines, and without preventive health care coverage are temporarily enrolled through the CHDP Gateway process into full scope, no-cost temporary Medi-Cal for the month of their CHDP health assessment and the following month. These services are funded by state general and federal funds under the EPSDT and Healthy Families (Title XXI) program.
- Low-income children/youth not eligible through the CHDP Gateway pre-enrollment process for the Medi-Cal or Healthy Families program receive CHDP services paid for by state general funds.
Child Health and Disability Program (CHDP) Gateway Flexibilities due to COVID-19
Due to the ongoing Public Health Crisis, DHCS is approving immediate enrollment flexibilities for PE providers to limit potential exposure to COVID-19
Child Health and Disability Program (CHDP) Gateway
Enrolling Providers can utilize telephonic signatures for CHDP Gateway Applications, noting in the case file “COVID-19 protocol.” If the individual is not at the provider’s office and not experiencing an urgent health event which requires immediate care, providers should suggest to the individual to apply online using the Covered CA portal to establish ongoing eligibility for Medi-Cal or Covered California. Providers may also obtain an Authorized Representative form for the CHDP Gateway applicant, allowing an individual acting on behalf of the applicant, to provide the required information to assist with the enrollment of the individual in CHDP Gateway coverage, thereby minimizing direct contact with the individual and promoting physical distancing.
In order to accept a telephonic signature, the following procedure must be followed:
- Read the consent language aloud to the individual/Authorized Representative as it is stated on the signature page of the CHDP Gateway Application:
Ask that the individual/Authorized Representative verbally acknowledge their consentIn the signature line, type “Verbal consent – COVID-19”Be sure to document and keep documentation for all verbal consent obtained.
- I have read and understood this CHDP Medi-Cal Application.
- The information I provided is true, correct, and complete.
- I understand that I must complete and submit the insurance affordability application by the end of my CHDP Gateway PE period in order to be eligible for continued coverage.
- I have received the insurance affordability application.
Questions concerning CHDP Gateway Flexibilities should be sent to Joel Mojica at Joel.Mojica@dhcs.ca.gov