Skip to Main Content

CMS Net Forms

Children's Medical Services (CMS) Net is a full-scope case management system for California Children's Services (CCS) and the Genetically Handicapped Persons Program (GHPP). The CMS Branch's Information Technology Section, the California Department of Technology Services, and various contractors support the CMS Net system.

Accounts

Microsoft Business Intelligence Account Activation/Deactivation Request (DHCS 4074, 09/18)
CMS Net Account Activation/Deactivation Request (DHCS 4513, 05/13)
CMS Net County System Administrator Security and Confidentiality Oath Agreement (DHCS 9093, 05/13)
Medi-Cal Eligibility Data System (MEDS) Account Request(DHCS 4512, 05/13)

Other

CMS Net Medical Therapy Program MTP Therapist Table (DHCS 4510, 05/13)
CMS Net Change Request (DHCS 4511, 05/13)

Last modified date: 3/23/2021 12:32 PM