NEW: Department of Health Care Services CCS Redesign Proposal and CRISS Response. See Below.
Since 1996 CRISS has been working to create a regional seamless system of care for the CCS children in a 27-county region in Northern California. This region encompasses the following counties:
- Contra Costa
- El Dorado
- San Francisco
- San Joaquin
- San Mateo
- Santa Clara
- Santa Cruz
- American Academy of Pediatrics, CA Dist.
- California Children's Hospital Association
- CARE Parent Network
- CCS Programs of Alameda, Butte, Colusa, Contra Costa, El Dorado, Fresno, Glenn, Humboldt, Marin, Mendocino, Napa, Placer, Sacramento, San Francisco, San Joaquin, San Mateo, Santa Clara, Santa Cruz, Shasta, Solano, Sonoma, Stanislaus, Sutter, Tehama, Tulare, Yolo, and Yuba County
- Children's Specialty Care Coalition
- Community Gatepath
- Colusa County Family Resource Center
- Exceptional Parents Unlimited
- Family Resource Network of Alameda County
- Family Resource Network of San Joaquin County
- Family Voices of California
- Kaiser Permanente
- Lucile Packard Children's Hospital
- Matrix Parent Network and Resource Center
- Parents Helping Parents
- Parenting Network: Visalia Family Resource Center
- Peaks and Valleys
- Rowell Family Empowerment of Northern Ca
- Safe Passage Family Resource Center
- Santa Clara Valley Health and Hospital System
- Support for Families of Children with Disabilities
- Sutter County Parent Network
- Sutter Sacramento Medical Center
- The Special Needs Connection
- UC Davis Medical Center
- UCSF Benioff Children's Hospital
- UCSF Benioff Children's Hospital Oakland
- WarmLine Family Resource Center
- Yuba County Family Resource Network
What We Do
We bring together the three major CCS stakeholder groups in a cohesive regional coalition for collaboration and planning.
Our goals are to:
- Maintain a consistent regional vehicle for coordination and collaboration in the CRISS region.
- Promote family-centered care and medical homes for children with special health care needs.
- Reduce cross-county barriers posed by different eligibility and authorization interpretation and processes.
- Improve regional information sharing with members and other groups regarding the CCS program, best practices, and quality standards.
To meet these goals, we carry out activities such as:
- We convene quarterly meetings of CRISS with representatives of our three core constituencies--families, pediatric providers, and CCS programs--to share information and practices, identify barriers to timely and appropriate care, and design strategies to promote a strong, effective and efficient CCS program.
- We promote family-centered care for children with special health care needs through annual conferences, information-sharing on strategies for promoting family-centered care, and provision of technical assistance to support local CCS program efforts toward family centeredness. We are particularly interested in promoting transition planning for youth graduating out of the CCS program and creation of parent health liaison positions to work with local CCS programs.
- We review CCS medical eligibility regulations and their local interpretation on a regular basis, recommend clarifications and updates to the state, and agree on consistent interpretation and implementation in our region. These activities help to reduce inter-county differences in interpretations that can disrupt children’s care and create obstacles for large pediatric institutions serving children from multiple counties.
- We develop guidelines for consistent interpretation and implementation of state CCS policy and regulations within the CRISS region. Consistency at the county level makes life easier for children and their families, CCS providers, and local CCS programs.
- We work with State CMS, Medi-Cal and EDS to identify and correct barriers to timely processing of CCS claims. CRISS efforts helped result in the elimination of EDS edits that limited CCS billing and reimbursements (e.g. frequency and location of service edits). We continue to follow implementation of electronic authorizations and billing, apprising the state of questions and concerns and sharing information on the authorizations and claims processes among provider groups and institutions.
- The Department of Health Care Services has released a proposal for redesign of the CCS program, referred to as the "Whole-Child Model". Please see the proposal here. CRISS provided comments on the proposal, based on the Principles of Health Care Delivery referenced below, to Department Director Jennifer Kent and Associate Director for Policy Anastasia Dodson.
- In May 2014, CRISS held its annual conference, entitled "The Devil is in the Details: Covered California and Children with Special Health Care Needs". You can find a summary of topics discussed, and speaker presentations on the CRISS Activities page.
For any questions, please contact Nick at firstname.lastname@example.org.
CRISS aims to promote a seamless, integrated, cost-effective and efficient regional service system that improves service delivery and coordination of care for children with special health care needs.
Laurie A. Soman Project Director Lsoman6708@aol.com
Mara McGrath Family Centered Care Coordinator email@example.com
Nick Draper Administrative Assistant firstname.lastname@example.org
Current CRISS activities are funded through annual membership dues and a grant from the Lucile Packard Foundation for Children's Health for 2012-2015. Previous funding sources have included the San Francisco Foundation, the Sierra Health Foundation, the federal Health Resources and Services Administration's Maternal and Child Health Bureau, and the California HealthCare Foundation. CRISS would like to acknowledge our very successful ongoing collaborative relationship with Family Voices of California, the USC Center for Excellence in Developmental Disabilities at Children's Hospital Los Angeles, the Los Angeles Partnership for Special Needs Children, and the State Children’s Medical Services Branch.