The 1115 “Bridge to Reform” Waiver (Waiver) renewal of November 2010 was intended to identify and test alternative health care delivery models for the California Children’s Services (CCS) program. A CCS Demonstration Project (DP) was pursued to test the efficacy of transitioning the CCS program from a fee-for-service based health care delivery model to an organized health care delivery model with a capitated payment. The CCS DP tests new approaches to improve the quality of care provided to children (up to 21 years of age) with special health care needs and focuses on identifying and solving roadblocks to access to care and ensuring families receive appropriate health care services for their child or youth.

CCS DP 的目标包括：

• 改善医疗服务协调，消除医疗服务碎片化现象；
• 改善健康状况；
• 提高患者和医护人员的满意度；
• 建立明确的医疗服务提供者和国家问责制；
• 维持以家庭为中心的医疗服务体系；
• 保留现有的CCS区域供应商网络。

4 月1日， 2013圣马特奥健康计划 (HPSM) 与圣马特奥县卫生系统合作，成为豁免下第一个运营的 CCS DP 试点项目。DHCS 选择 HPSM 参与 CCS DP 试点项目，该项目采用全风险 Medi-Cal 管理式医疗计划模式，旨在通过加强护理协调来改善该县的 CCS 计划。HPSM 为大约 1,400 名符合 CCS 资格的客户提供全面的医疗保健服务，并管理和协调面向“整个”儿童的全方位医疗保健服务，包括定期健康评估、免疫接种、与 CCS 资格医疗状况无关的初级保健服务和专科医疗保健服务。