At Partnership our pediatric health care services and trainings fall into two categories for our members from birth to 21 years of age. The categories are Standard Pediatric Services and Whole Child Care.
Standard Pediatric Services -- Well Child Visits
Health Screenings and Trainings for Well-child Visits Birth to Age 21
Whole Child Care
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 (WCM) 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 five health plans that will participate in the WCM.
All PHC Counties (Del Norte, Humboldt, Lake, Lassen, Marin, Mendocino, Modoc, Napa, Siskiyou, Shasta, Solano, Sonoma, Trinity, Yolo) will participate in the WCM.