California Children’s Services Whole Child Model

Senate Bill (SB) 586 authorizes the Department of Health Care Services (DHCS) to establish the Whole Child Model (WCM) program in designated County Organized Health System (COHS) or Regional Health Authority counties to incorporate California Children’s Services (CCS) program covered services for Medi-Cal eligible CCS children and youth into a Medi-Cal managed care plan (MCP) contract. DHCS has developed a “Whole Child Model” to be implemented in 21 specified counties, no sooner than July 2018. The results are improved care coordination for primary, specialty, and behavioral health services for CCS and non-CCS conditions. The benefits are consistent with CCS program standards and provided by CCS paneled providers, specialty care centers, and pediatric acute care hospitals. WCM approach meets the six goals for CCS Redesign:

Implement Patient and Family Centered Approach
Improve Care Coordination through an Organized Delivery System
Maintain Quality
Streamline Care Delivery
Build on Lessons Learned
Cost Effective

The approach is consistent with the primary goals of providing comprehensive treatment and focusing on the whole child, including the child’s full range of needs rather than only on the CCS health condition.

There are 21 counties and 5 health plans that will participate in the WCM.

Whole Child Model Health Plans and COHS Counties

CenCal Health	Central California Alliance for Health	Health Plan of San Mateo	CalOptima	Partnership HealthPlan of California
San Luis Obispo, Santa Barbara	Merced, Monterey, Santa Cruz	San Mateo	Orange	Del Norte, Humboldt, Lake, Lassen, Marin, Mendocino, Modoc, Napa, Siskiyou, Shasta, Solano, Sonoma, Trinity, Yolo

Resources and Information

Whole Child Model Documents

Allocation Methodology and Division of Responsibility (August 2018) - Revised
Beneficiary Flyer English, Beneficiary Flyer Spanish (February 2017)
CCS Advisory Group Composition (November 2021)
County Information Notice (February 2017)
County Readiness (February 2017)
Frequently Asked Questions (FAQs) (July 2019)
Grievance, Appeal, and Fair Hearing Processes
Health Plan Readiness (February 2017)
Implementation Timeline (July 11, 2017)
Managed Care Whole Child Model Dashboard (October 2021)
Memorandum of Understanding (MOU) REVISED (March 2018)
MTP 101 PowerPoint (November 2017)
MTP Service Chart (May 2018)
Phase-In Methodology (November 2017)
Whole Child Model 30-day Notice (April 2018)
Whole Child Model 60-day Notice (April 2018)
Whole Child Model 90-day Notice (April 2018)
Whole Child Model and SB 586 PowerPoint
Whole Child Model CCS Numbered Letter Category List (October 2018)
Whole Child Model Overview PowerPoint English, Whole Child Model Overview PowerPoint Spanish (October 2018)
Whole Child Model Provider Notice (November 2018)
Integrated CCS/WCM Dashboard (January 2022)

Archive/Resources

CCS Advisory Group
Summary of Stakeholder Comments to the Whole-Child Model (Updated: July 17, 2015)
SurveyMonkey Comments on the Whole-Child Model (July 30, 2015)

Contact Us

Any comments, questions, or suggestions regarding the CCS stakeholder process or the Whole-Child Model or requests to be added to the CCS stakeholder e-mail distribution list can be submitted to CCSRedesign@dhcs.ca.gov.

Last modified date: 3/23/2023 4:27 PM

​​​​California Children’s Services Whole Child Model

Whole Child Model Health Plans and COHS Counties​​​