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 的目標包括：

• 改善醫療服務協調，消除醫療服務片段化現象；
• 改善健康狀況；
• 提高病人和醫護人員的滿意度；
• 建立明確的醫療服務提供者和國家問責制；
• 維持以家庭為中心的醫療服務體系；
• 保留現有的CCS區域供應商網路。

On April 1, 2013 the Health Plan of San Mateo (HPSM), in partnership with the San Mateo County Health System, became the first operational CCS DP pilot under the Waiver. DHCS selected the HPSM to participate in the CCS DP pilot under a full risk Medi-Cal Managed Care Plan model to improve the county’s CCS program through enhanced care coordination. The HPSM provides comprehensive health care to approximately 1,400 CCS eligible clients, and manages and coordinates a full range of health care services for the “whole” child including periodic health assessments, immunizations, primary health care services not related to the CCS eligible medical condition and specialty health care services.