HEALTHY FAMILIES PROGRAM RECORD FORMS FOR REFERRALS TO CALIFORNIA CHILDREN SERVICES
The Exhibit contains examples of various forms and reference materials, which Healthy Families Program Providers and Health Plans will need to use when making referrals to California Children Services (CCS) for the eligible conditions.
CCS Program Referral Form and Referral Definitions
CCS Informational Flyer
CCS Program Application for Services
CCS Medical Eligibility Regulations
CCS Provider Flow Chart, CCS Communication Flow Chart