14094.6. (Amended by Stats. 2022, Ch. 73, Sec. 3.)

Official source

The goals for the Whole Child Model program for children and youth under 21 years of age who meet the eligibility requirements of Section 123805 of the Health and Safety Code and are enrolled in a managed care plan under a county organized health system or Regional Health Authority, or an alternate health care service plan contracted with the department pursuant to Section 14197.11, shall include all of the following:

(a)Improving the coordination of primary and preventive…#

(a) Improving the coordination of primary and preventive services with specialty care services, medical therapy units, Early and Periodic Screening, Diagnosis, and Treatment (EPSDT), long-term services and supports (LTSS), regional center services, and home- and community-based services using a child and youth and family-centered approach.

(b)Maintaining or exceeding CCS program standards and…#

(b) Maintaining or exceeding CCS program standards and specialty care access, including access to appropriate subspecialties.

(c)Providing for the continuity of child and youth access…#

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14094.6. (Amended by Stats. 2022, Ch. 73, Sec. 3.)

Official source

The goals for the Whole Child Model program for children and youth under 21 years of age who meet the eligibility requirements of Section 123805 of the Health and Safety Code and are enrolled in a managed care plan under a county organized health system or Regional Health Authority, or an alternate health care service plan contracted with the department pursuant to Section 14197.11, shall include all of the following:

(a)Improving the coordination of primary and preventive…#

(a) Improving the coordination of primary and preventive services with specialty care services, medical therapy units, Early and Periodic Screening, Diagnosis, and Treatment (EPSDT), long-term services and supports (LTSS), regional center services, and home- and community-based services using a child and youth and family-centered approach.

(b)Maintaining or exceeding CCS program standards and…#

(b) Maintaining or exceeding CCS program standards and specialty care access, including access to appropriate subspecialties.

(c)Providing for the continuity of child and youth access…#

(c) Providing for the continuity of child and youth access to expert, CCS dedicated case management and care coordination, provider referrals, and service authorizations.

(d)Improving the transition of youth from CCS to adult…#

(d) Improving the transition of youth from CCS to adult Medi-Cal managed systems of care through better coordination of medical and nonmedical services and supports and improved access to appropriate adult providers for youth who age out of CCS.

(e)Identifying, tracking, and evaluating the transition of…#

(e) Identifying, tracking, and evaluating the transition of children and youth from CCS to the Whole Child Model program to inform future CCS program improvements.