Eligibility and Enrollment

Eligibility

Anyone who meets the following conditions may be eligible:

• Age: Under 21 years of age AND
• Residence: Permanent resident of San Mateo County AND
• Medical condition: Has a physically disabling medical condition that is eligible for care under CCS AND
• Income: The family’s income is less than $40,000 a year (State adjusted gross income-AGI)

A child whose family’s income is over $40,000 may still be eligible if:

• He or she has full-scope Medi-Cal or Healthy Families OR
• the estimated cost of medical care related to CCS eligible medical condition for current year is expected to be more than 20% of the family’s adjusted gross income OR
• the child was adopted with a known CCS eligible medical condition

Exceptions: Medical Therapy Program Services, diagnostic services, high-risk infant follow-up, and the children’s HIV program do not have a financial eligibility requirement.

How to Enroll

Call California Children’s Services at 650-616-2500 to have an application mailed to you. Or you can print out an application linked below and then mail or fax your completed application to us.

California Children’s Services Administrative Office
801 Gateway Blvd., Suite 400
South San Francisco, CA 94080
FAX: 650-616-2598