Lucile Packard Foundation for Children's Health      

kidsdata advisory

The Lucile Packard Foundation for Children's Health | August 29, 2012

Available for the First Time: County Enrollment Figures for California Children's Services (CCS)

Almost 150,000 of California’s children and youth were active enrollees in the California Children’s Services (CCS) program in 2009, according to a first-time analysis of CCS enrollment by county, released by the Stanford Center for Policy, Outcomes and Prevention and posted on

Although CCS enrollment criteria are intended to be applied uniformly across the state, the percentages of active enrollees varied widely at the county level, ranging from 2.0% to 14.2% for children under age 1, and from 0.4% to 2.3% for children and youth ages 1-21. See data for your county>>

The CCS program helps to ensure access to essential health care services for those ages 0-21 with serious health problems. Active enrollees are those who had claims paid on their behalf. Nearly 5% of the state’s children under age 1, and about 1% of children and youth ages 1-21, were active enrollees in the program, which is the state’s largest payer of services for children with complex chronic health problems.

CCS functions as the state agency that administers the federal Title V Program for Children with Special Health Care Needs. Title V aims to support development and implementation of comprehensive, culturally competent, coordinated systems of care for children who have, or are at risk for, chronic physical, developmental, behavioral, or emotional conditions, and who also require health and related services of a type or amount beyond that required by children generally. In California, services are provided to children who meet specific medical, residential and financial eligibility requirements.

CCS is managed by the California Department of Health Care Services (DHCS) and is administered by local county health departments. DHCS engaged the Stanford Center for Policy, Outcomes and Prevention to analyze program data. The data provide insight into children's participation in the program, stratified by age group and county of residence. Variations in child enrollment, use of care, and expenditures may offer opportunities to identify best practices, implement cost-saving strategies, and improve the value of care delivered to children with special health care needs (CSHCN). Additional analyses are under way at the Stanford Center for Policy, Outcomes and Prevention.

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About 5% of all California kids under age 1 in 2009 were active enrollees in California Children's Services (CCS). The percent of active enrollees varied widely by county, from 2% to 14%. Mascots is a program of the Lucile Packard Foundation of Children's Health, which uses data to promote the health and well being of children.
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