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：​​ 

• 改善照護的協調，並消除分散的醫療保健服務；​​ 
• 改善健康成果；​​ 
• 提高患者和提供者的滿意度；​​ 
• 制定明確的供應商和國家責任；​​ 
• 維持以家庭為中心的交付系統；以及​​ 
• 保留現有的 CCS 區域供應商網絡。​​ 
  
  

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.​​