Learn About The
Whole-Child Model

Latest Updates

CalOptima is committed to keeping our stakeholders informed and providing opportunities for feedback. Our most recent efforts for Whole-Child Model include:

  • The Department of Health Care Services recently provided information including a list of CCS-paneled providers. CalOptima will use this information to connect and partner with providers currently serving CalOptima children in CCS.
  • February 26–28, 2018
    • CalOptima partnered with local community-based organizations to host six family events around Orange County. CalOptima provided information about the Whole-Child Model transition to almost 90 California Children’s Services (CCS) family members. Attendees were actively engaged, asking CalOptima staff questions and sharing their thoughts on the current program, and the upcoming transition.
      • The presentation can be accessed here.
      • CalOptima plans to continue family outreach efforts in October 2018.
  • January 25, 2018
    • Approximately 100 community partners attended CalOptima’s General Stakeholder Meeting to learn about the Whole-Child Model transition. Jacey Cooper, Assistant Deputy Director of the California Department of Health Care Services, outlined the State’s goals, while CalOptima executives presented CalOptima’s approach and dedication to the transition.
      • The presentation can be accessed here.
      • CalOptima plans to host a second General Stakeholder Meeting on July 25, 2018.

About the Whole-Child Model

California Children’s Services (CCS) is a statewide program for children with certain medical conditions. CCS provides medical care, case management, physical/occupational therapy and financial assistance. Currently, CCS services are carved out (separated) from most Medi-Cal managed care plans, including CalOptima.

The Orange County Health Care Agency (OC HCA) manages the local CCS program. It provides case management, eligibility determination, service authorization and direct therapy under the Medical Therapy Program.

No sooner than July 1, 2018, CCS will be a Medi-Cal managed care plan benefit. The goal is to improve health care coordination for the whole child, rather than handle CCS conditions separately. This approach is known as the Whole-Child Model.

No sooner than January 1, 2019, Medi-Cal members’ needs related to CCS services will be part of CalOptima’s Medi-Cal plan. Under this model, OC HCA will continue to determine eligibility, and manage the Medical Therapy Program.

CalOptima regularly meets with OC HCA about the CCS transition in Orange County. There are ongoing discussions about implementation, and decisions pending further guidance from the state.

The priority for CalOptima and OC HCA is to make sure there is a seamless transition for the children and families involved.

Whole-Child Model Family Advisory Committee

CalOptima is creating a Whole-Child Model Family Advisory Committee (WCM FAC). Committee members will include CCS family representatives/members, community-based organizations, and/or consumer advocates.

General Information

Click on the links below to learn more about the Whole-Child Model and how it will affect CalOptima members and providers.

February 26-28, 2018 Family Event MaterialsPDF File Indicator Image

January 25, 2018 Stakeholder Meeting MaterialsPDF File Indicator Image

February 24, 2017 Memo From Michael Schrader, CalOptima CEOPDF File Indicator Image

September 14, 2016 Memo From Michael Schrader, CalOptima CEOPDF File Indicator Image

June 10, 2016 Memo From Michael Schrader, CalOptima CEOPDF File Indicator Image

March 25, 2016 Stakeholder Meeting MaterialsPDF File Indicator Image

Resources

Click on the links below to learn more about CCS and the Whole-Child Model. These programs are coordinated by DHCS, OCHCA and CalOptima.

DHCS - Whole-Child Model

DHCS - CCS Advisory Group

DHCS - CCS Program Overview

OCHCA - CCS Information and Resources

OCHCA - Provider FAQ

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