Get the free California Children Services Approved Hospital Report - dhcs ca

This document lists various hospitals approved by California Children's Services, including legal names, business names, approval types, and their addresses.

How to fill out california children services approved

How to fill out California Children Services Approved Hospital Report

1. Begin by downloading the California Children Services Approved Hospital Report form from the official CCS website.
2. Fill in the patient's personal information including their name, date of birth, and medical record number at the top of the form.
3. Provide the details of the hospital where the treatment took place, including the hospital's name and address.
4. Complete the section about the medical condition of the child, including the diagnosis and any relevant medical history.
5. Detail the services provided during the hospital stay, including dates of admission and discharge.
6. Include information about any follow-up care or additional services needed post-discharge.
7. Sign and date the report at the bottom, verifying that the information provided is accurate.
8. Submit the completed form to the appropriate California Children Services (CCS) office as instructed.

Who needs California Children Services Approved Hospital Report?

1. Patients eligible for California Children Services who have received hospital care and require further evaluation for services.
2. Healthcare providers and facilities that need to document the treatment of eligible children to receive reimbursement from CCS.
3. Parents or guardians of children who are seeking assistance from California Children Services for their child's medical needs.

People Also Ask about

Who qualifies for CCS in California?

CCS financial eligibility is not limited to families earning $40,000 or less. Families with an adjusted gross income (AGI) of $40,000 or less may qualify but those with higher incomes may still be eligible if their child's medical expenses are very high. Children enrolled in Medi-Cal may qualify for CCS.

Who is eligible for free healthcare in California?

Who is eligible? Qualify for Medi-Cal if your income is up to 138 percent of the Federal Poverty Level (FPL) for adults, and up to 266 percent FPL for children. Check Shop and Compare to see if you qualify. Learn more on the Department of Health Care Services website.

Is CCS the same as Medi-Cal?

Examples of eligible conditions include diseases of the pituitary, thyroid, parathyroid, thymus, adrenal, pancreas, ovaries and ; growth hormone deficiency, diabetes mellitus, diseases due to congenital or acquired immunologic deficiency manifested by life-threatening infections, inborn errors of metabolism;

How do you qualify for California climate credit?

You will automatically receive the California Climate Credit if you receive electricity from an investor-owned utility company, electric service provider or community choice aggregation provider (CCA) and are receiving utility service during the period the Credit is distributed.

How do you qualify for CCS in California?

Through this program, children up to 21 years old can get the health care and services they need. To qualify for the CCS program, a child must have a CCS-eligible condition, reside in California and meet financial eligibility. CCS financial eligibility is not limited to families earning $40,000 or less.

What does it mean to be CCS paneled?

"Paneled Providers" have been determined by the CCS program to meet the advanced education, training, and/or experience requirements for his/her provider type in order to render services to a CCS applicant or client.

What are eligible conditions for CCS?

Examples of eligible conditions include diseases of the pituitary, thyroid, parathyroid, thymus, adrenal, pancreas, ovaries and ; growth hormone deficiency, diabetes mellitus, diseases due to congenital or acquired immunologic deficiency manifested by life-threatening infections, inborn errors of metabolism;

For pdfFiller’s FAQs

What is California Children Services Approved Hospital Report?

The California Children Services Approved Hospital Report is a document used to provide necessary medical information about a child receiving services from California Children's Services (CCS). It ensures proper coordination and reimbursement for the medical treatments provided.

Who is required to file California Children Services Approved Hospital Report?

Hospitals that provide services to children eligible for California Children Services are required to file the California Children Services Approved Hospital Report.

How to fill out California Children Services Approved Hospital Report?

To fill out the California Children Services Approved Hospital Report, a hospital personnel should enter relevant patient information, including child’s demographics, medical treatments received, diagnosis, and ensure that all fields are completed accurately according to CCS guidelines.

What is the purpose of California Children Services Approved Hospital Report?

The purpose of the California Children Services Approved Hospital Report is to document the medical care provided to children with specified health conditions, ensuring they receive appropriate services and facilitating the reimbursement process for those services.

What information must be reported on California Children Services Approved Hospital Report?

The report must include patient demographics, diagnosis codes, procedure codes, dates of service, and detailed descriptions of the medical treatment provided, adhering to CCS reporting standards.