California Children Services: CCS

CCS Provider Application

Why should a health care provider become a CCS Paneled Provider?
There are several advantages for providers, including referral of patients to the provider, case management by CCS in support of the provider and reimbursement for services offered to children who otherwise would have no insurance coverage.

Who should become a CCS Paneled Provider?
Any physician who offers special services to children with CCS medically eligible conditions may become a CCS paneled provider. This would include all pediatricians, other medical & surgical specialists who have special training in pediatric conditions within their specialty, pediatric dentists and orthodontists, allied health professionals who work with children.

How does a Provider apply?
First a Medi-Cal provider number must be obtained so the provider may be reimbursed for CCS services. Then the physician or allied health provider must to complete one of the applications linked below and return it to this office by FAX or mail. The CCS Administrative Office verifies the application and supporting documents and forwards the application to the State CCS Office for approval. For more information, click here to visit the State CCS website.

What are the requirements for approval?
Physicians must be licensed in California, limit their practice to their specialty and be board certified or eligible in their specialty. Orthopedists must demonstrate special training in pediatric orthopedics. Cardiac surgeons must meet special standards and be part of an approved cardiac center. Family practitioners may be paneled in special situations. (For applicants who are not physicians, please contact the CCS Administrative Office for the details as they apply to their specialty.)

Are there conditions placed on a CCS Paneled Provider?
The Provider does agree to several conditions on the application describing authorization of service, billing, payment and access of patients to the provider. These will be sent to the applicant prior to submitting the application to the State CCS Office.