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Anderson
Center for Dental Care, Rady Children's Hospital San Diego
HISTORY/MISSION
To restore, sustain, and enhance the dental health of children, especially
those with disabilities or extensive early childhood cavities, through
education, increased access to care, treatment and advocacy. The Center is
not a physical setting but rather consists of several specific programs,
affiliated dental providers and services.
ELIGIBILITY
Treatment is based on the availability of funds. Criteria includes:
- Early childhood
cavities/baby bottle tooth decay, or has a severely disabling medical
condition and requires dental care (will need a referral or parent's
statement)
- No dental coverage
to pay for the cost of treatment (parent's statement regarding dental
and medical coverage
- Under 21 years of
age
- Legal resident of
San Diego or Imperial Counties
- Must have a family
annual income of less than $40,000 state adjusted gross income
- Special
consideration may be granted to families whose expected cost of
medical care for the year may exceed 20% of their state adjusted gross
income (tax return and itemized medical bills).
Supporting documentation includes proof of residence (utility bill), child
social security, and copy of last year income tax or 4-6 current
consecutive pay stubs.
SERVICES
- Oral health
education for families and the community
- Education on oral
health for health professionals
- Funding for dental
treatment on a limited basis for children who meet the eligibility
criteria
- Advocacy to
increase access to care
SPECIFICS
FOR CHILDREN IN FOSTER CARE
None
FOR MORE INFORMATION
Anderson Center
Ph: (858) 576-1700 x 4806
For help in finding a dentist, a dentist who accepts Denti-Cal, or for
information on the Anderson Center Dental Treatment Funding, contact
Children's Healthcare Referral at (800) 788-9029
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California Children's Services
HISTORY/MISSION
The California Children's Services (CCS) goal is to assure that children with
physically handicapping conditions receive necessary and appropriate health
care to treat their eligible conditions at the appropriate time and place
by CCS-paneled health care practitioners. The program performs these
assurance functions by defining those handicapping conditions requiring
multi-specialty, multidisciplinary care, and by determining program
eligibility. The program also performs other services, which usually
include:
- assessing the
qualifications of and selecting the most appropriate providers and
site for care,
- managing cases,
- determining the
appropriateness of treatment plans, and
- authorizing and
funding the services.
Frequently, working with families and children with
multiple problems may identify the needs for extended services in the home
and coordination with other agencies.
ELIGIBILITY
- Persons under the
age of 21,
- Residents of
California,
- Whose family meets
certain income requirements, and
- Who have
CCS-eligible medical conditions, which may include:
- congenital
anomalies
- neoplasms
- circulatory
conditions involving the heart, blood vessels and lymphatic system
- certain
diseases, such as infectious and parasitic diseases, endocrine,
nutritional and metabolic diseases, diseases of the blood and
blood-forming organs, nervous system and sense organs, respiratory,
genitourinary and digestive systems, and disfiguring/disabling
diseases of the skin and subcutaneous tissue, or musculoskeletal
system and connective tissue
- serious
accidents, poisoning, violence, and immunization reactions
SERVICES
CCS offers a full range of diagnostic and treatment services including:
- Diagnostic
evaluations for children with suspected eligible physically
handicapping conditions
- Treatment services
for eligible conditions including medical and surgical care, hospital
and pharmaceuticals, physical and occupational therapy, laboratory tests,
X-rays, durable medical equipment and medical supplies, and other
needed services
- High-risk infant
follow-up
- Medical case
management, including referral to specialists and treatment centers
and follow-up
- HIV Children
Program for children/youth at risk for HIV infection
- Medical therapy
services for children with eligible conditions in medical therapy
units (MTUs) at school sites
SPECIFICS
FOR CHILDREN IN FOSTER CARE
None
FOR MORE INFORMATION
California Children's Services
6160 Mission Gorge Road
San Diego, CA 92120
Ph: (619) 528-4000
Fx: (619) 528-4087
Fx: (619) 528-4097
Website: http://dhs.ca.gov/pcfh/cms/ccs/
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Child Health and Disability Prevention
Program
HISTORY/MISSION
Child Health and Disability Prevention Program (CHDP) is a preventive
health program serving California's children and youth. CHDP makes early
preventive health care available to eligible children.
ELIGIBILITY
MediCal Eligible Children and Youth
All California MediCal recipients from birth to age 21 are eligible for
health assessments based on the following schedule:
- 2 years and
under: under 1 month, 2 months, 4 months, 6 months, 9 months, 12
months, 15 months, 18 months, 2 years
- Over 2 years: 3
years, 4-5 years, 6-8 years, 9-12 years, 13-16 years, 17-20 years
Non MediCal Eligible Children and Youth
CHDP provides periodic preventive health services to non-Medi-Cal eligible
children and youth from birth to age 19 from low-income families. Eligible
children and teens can receive health assessments based on the same
schedule as MediCal eligible children and youth.
SERVICES
Services range from preventive health services to case management and
include CHDP school-required health assessments for low-income children.
Health Assessments
CHDP offers a full range of health assessment services including:
- Health and
developmental history
- Physical examination
- Nutritional
assessment
- Immunizations
- Dental assessment
- Vision testing
- Hearing testing
- Lead testing
- Some laboratory
tests (e.g., tuberculin, sickle cell, urinalysis,
hemoglobin/hematocrit, Pap smears)
- Health education
and anticipatory guidance
Case Management
In addition to health assessment services, the CHDP Program will assist
families in obtaining diagnostic and treatment services.
CHDP School-Required Health Assessments
By law, all children entering the first grade are required to have either a
certificate of a CHDP health examination or a waiver on file at the school
in which they enroll. The CHDP Program works with city and county school
districts to meet this requirement.
SPECIFICS FOR CHILDREN IN FOSTER CARE
CHDP has a special unit focused on services to children in foster care. The
nurses in the CHDP foster care provide the following:
- Help foster care
givers find doctors and dentists to see their children
- Follow up on
diagnosed health and developmental problems
- Compile a health
history for the children
- Teach and advise
social workers and foster caregivers about health issues
These nurses may be contacted
at (619) 692-8489 or (619) 692-8488.
FOR MORE INFORMATION
Child Health and Disability Prevention Program
County of San Diego Health and Human Services Agency
Office of Public Health
3851 Rosecrans Street
PO Box 85222
San Diego, CA 92186-5222
Ph: (619) 692-8428; (800) 675-2229
Website: http://www2.sdcounty.ca.gov/hhsa/ServiceDetails.asp?ServiceID=364
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CHDP-Treatment Reimbursement Program
HISTORY/MISSION
Child Health and Disability Prevention Program (CHDP) also offers a program
called CHDP-Treatment Reimbursement Program (CHDP-TR). CHDP-TR provides
reimbursement for diagnosis and treatment of certain new, undiagnosed or
untreated conditions detected during CHDP screening exams. The program is
not a source of comprehensive health care for children and is the provider
of last resort.
ELIGIBILITY
Children from 0-18 years (under 19 years) who reside in San Diego County
and who meet the income standard as self-reported on the CHDP Eligibility
Information Form DHS 4073 [200% or less of the federal poverty (FPL) level]
and who are:
- Not eligible
for MediCal without a share-of-cost and Healthy Families Program OR
- Eligible for
MediCal with a share-of-cost, but elect CHDP-TR coverage instead
of MediCal, AND
- Not eligible for
treatment from another source such as California Children's Services,
private insurance, Head Start, or another public program.
SERVICES
Services include:
- Primary
care office visits
- Dental services for children such as dental examinations,
prophylaxis, amalgams, sealants, extractions, composites
- Basic lab and
x-rays
- Pharmacy services
- Ophthalmology or
optometry evaluation for abnormal vision
- Flouride varnishes
Prior authorization is necessary for the
following services:
- Specialty provider
visits, i.e. cardiology, dermatology, endocrinology, ophthalmology,
etc.
- All ancillary
medical services including speech, audiology, nutrition, and podiatry
- Contact lenses or
replacement of eyeglasses
- Outpatient surgery
and other special procedures with or without general anesthesia
SPECIFICS FOR CHILDREN IN FOSTER CARE
CHDP has a special unit focused on services to children in foster care. The
nurses in the CHDP foster care provide the following:
- Help foster care
givers find doctors and dentists to see their children
- Follow up on
diagnosed health and developmental problems
- Compile a health
history for the children
- Teach and advise
social workers and foster caregivers about health issues
These nurses may be
contacted at 619-694-5722, 619-694-5427, or 619-694-5728.
FOR MORE INFORMATION
County of San Diego Health and Human Services Agency
Public Health Services
3851 Rosecrans Street
PO Box 85222
San Diego, CA 92186-5222
Ph: (619) 692-8428; (800) 675-2229.
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Family Health Centers of San Diego
HISTORY/MISSION
For over 30 years, Family Health enters of San Diego, a federally
funded, non-profit community health center previously known as the Chicano
Community Clinic has been providing comprehensive primary care services to
its low-income, inner-city population.
Family Health Centers of San Diego provides comprehensive, accessible,
quality health care services to residents and businesses of San Diego and
the surrounding region. Services are affordable for all income levels, with
a special commitment to low income/medically underserved individuals.
ELIGIBILITY
Any child with a suspected need of the following services may be referred
to the Family Health Centers of San Diego. Once referred, the child will be
evaluated and, if needed, services will be initiated.
SERVICES
Speech/Language Pathology
Various services are provided to children who
exhibit possible speech and language/communication deficits. Bilingual
speech/language pathologists offer services to patients presenting with a
variety of conditions, including: articulation and phonology, language,
voice, fluency (stuttering), hearing loss, learning disability, organic
problems (e.g., cleft palate), autism, communication delay/disorders
related to cerebral palsy, developmental delay, Down Syndrome, and other
syndromes.
Services include:
- Speech/language
screenings
- Speech/language
evaluations
- Speech/language
therapy, individual or in a group
Early Intervention
Early intervention is a service designed to optimize early development in
infants and toddlers. Trained specialists in early childhood development
offer families information and support with: Infant development, global
information about parenting issues, age appropriate toys, pre-language
stimulation, basic infant nutrition, and in-home developmental activities.
Population served:
- Infants and
toddlers (0-3 years)
- Premature infants
- Children with an
identified disability
Services include:
- Developmental
assessment
- One-on-one
developmental intervention
- Case management
Toddler School Program
This center based program offers a variety of specialized services,
including an early childhood developmental stimulation program for children ages 22 months to 36 months (children attend with their parents twice a week);
consultation services by specialists, and other services for the family, as
needed. The Toddler School Program also offers:
- Consultation
Services including: speech pathology, physical therapy,
occupational therapy consultation. Some children may receive
additional one-on-one services from specific consultants, as authorized
by the Regional Center.
- Home Visitation
Services: Early Intervention Specialists (Home Visitors) will assist the family in assessing the home
environment and facilitate appropriate changes. They will also provide
parents with developmental information that is appropriate to their
child including techniques for stimulation of missing or emerging
developmental skills, while facilitating carryover of skills practiced
in the classroom.
- Services for
Families: Parents will have the opportunity to participate in various
activities including: parenting for toddler classes and speech/language development
classes. Parents will also be expected to
observe and participate in classroom activities to be able to
facilitate these activities at home.
Pediatric Physical Therapy
In addition to early intervention services, some children require physical
therapy to foster and enhance their gross motor development. Pediatric
physical therapy is available to children, ages 0-21, with an identified
disability or delay in development.
The Pediatric Physical Therapist facilitates improved coordination of the
large muscles of the body and provides families information and support
with the following:
- Age appropriate
gross motor development
- In home motor
development activities
- Parental education
in diagnosed disability
- Appropriate toys
- Positioning
Services include:
- Physical therapy
evaluation and goal setting
- One-on-one
neurodevelopmental and sensory integration interventions
- Case management
and appropriate referrals
- Obtaining
appropriate mobility equipment (i.e., bracing, walkers, wheelchairs,
standers, etc.)
- Interdisciplinary
team treatment with speech and language pathologist, early
interventionists, audiologists,psychologists/counselors
Audiology
If a child is suspected of a hearing loss, the child should be seen by an
audiologist immediately. Immediate attention is critical to ensure both
hearing health and proper speech and language development. Children can be
evaluated at any age, including newborn infants.
Services include:
- Audiological
screenings
- Audiological
evaluations (6 months-old through adults)
- Ear, nose, and
throat services
SPECIFICS
FOR CHILDREN IN FOSTER CARE
None
FOR MORE INFORMATION
Susan Nevitt, M.A., CCC-Sp.
Director of Ancillary Services
Family Health Centers of San Diego
Logan Heights Family Health Center
1809 National Avenue
San Diego, CA 92113
Ph: (619) 515-2511
Website: www.fhcsd.org
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Healthy Families (State Child Health Insurance Program)
HISTORY/MISSION
Partially funded by a federal block grant, the Healthy Families Program
provides health insurance coverage for California's estimated 580,000
children ages birth through 18-years who fall within 100-250 percent of the
federal poverty level (FPL). The type of coverage offered is similar to
that currently offered through most employer-sponsored plans.
ELIGIBILITY
To qualify for participation, families are required to meet basic
requirements, including:
- Income must be
between 100 and 250 percent of the FPL
- Must not be
eligible for no cost MediCal coverage; and
- Must not have been
covered by an employer-sponsored insurance policy for the previous 90
days.
SERVICES
The Healthy Families Program benefits package includes:
- Coverage for
medically necessary hospitalization
- Physician, medical
and surgical services
- Inpatient and
outpatient services
- Prescription drugs
- Well-baby and
well-child care services
- Mental health
services
- Occupational,
physical and speech therapies
- Laboratory and
X-ray services
- Dental benefits,
including preventive and diagnostic services
- Vision-related
coverage including annual exams and eyeglasses
- Healthy Families
will coordinate mental health services among participating health
plans and counties for enrolled children will special mental health
needs
All families participating
in the Healthy Families Program pay monthly premiums.
SPECIFICS FOR CHILDREN IN FOSTER CARE
None
FOR MORE INFORMATION
Healthy Families/Managed Risk MediCal Insurance Board (MRMIB)
Ph: (888) 747-1222
Website: www.healthyfamilies.ca.gov
The California Managed Risk MediCal Insurance Board (MRMIB)
1000 G Street, Suite 450
Sacramento, CA 95814
Ph: (916) 324-4695
Fx: (916) 324-4878
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MediCal
HISTORY/MISSION
Healthy San Diego is the project name for the
coordination of MediCal managed care in San Diego County.
ELIGIBILITY
- Children up to age
21.
- California
residents.
- Family income must
be at or below certain income limits.
- Children must be
U.S. citizens or have satisfactory immigration status for full scope MediCal.
SERVICES
All basic MediCal benefits do NOT require copayments (no consumer cost).
24-hour access to medical care:
- A primary care
doctor for your basic health care needs;
- Telephone Advice
Nurses to help you when the doctor's office is closed;
- Urgent Care
Centers conveniently located to help you;
- Emergency Rooms to
help you when there's a life-threatening problem.
You'll receive medical services such as:
- Primary care
doctor visits
- Hospital Services
- Maternity and
newborn care
- Optometry (eye
care)
- Podiatrist
services (foot care)
- Mental health
services
- Emergency
transportation
- Family planning
services
Your primary care doctor can refer you to:
- Specialists
- Chiropractors
- Home health care
services
For those children covered by fee-for-service MediCal, services may be
sought from any provider who accepts MediCal
For those children who elect to join a health plan, the State's contract
with Healthy San Diego health plans requires an initial
health assessment be completed within 120 days of enrollment with a health
plan. This health assessment will not necessarily involve the
administration of a specific test for developmental problems, but one may
be provided on follow-up if the initial health assessment indicates the
need for such an assessment.
Developmental services can be procured at Rady Children's Hospital
San Diego, University of California San Diego (UCSD), San Diego
State University (SDSU), or through a number of private providers
in the community.
Several of the health plans also offer specific clinics that address the
evaluation and treatment of developmental or behavioral problems. We would
recommend contacting an individual plan where appropriate in order to
determine what services they provide for children with, or at-risk for,
developmental delay.
SPECIFICS FOR CHILDREN IN FOSTER CARE
While in Polinsky Center, children are covered by MediCal and services
provided while at Polinsky are billed to MediCal or the appropriate Healthy
San Diego health plan. Healthy San Diego has facilitated a memorandum of
agreement between the health plans and Polinsky Center to facilitate
communication between health plans and the center.
When a child leaves Polinsky for an out-of-home placement, s/he continues
to be covered by MediCal. Currently, children in foster care are not
required to join health plans, but may do so based upon a joint decision
between the foster parent and the social worker. Non-foster care children
receiving CalWORKS-related MediCal must join a health plan unless they
qualify for a medical exemption.
FOR MORE INFORMATION
Steve Hon
Senior Program Manager
County of San Diego, Health and Human Services Agency
8840 Complex Dr., Suite 255
San Diego, CA 92123
Ph: (858) 565-3368
Website: http://www.sdkhan.org
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Public Health Nursing
HISTORY/MISSION
Public Health Nursing services are provided by public health nurses who are
baccalaureate-prepared registered nurses with specialized training in
community health, disease prevention and health promotion. The goal of
public health nurses is to improve health by teaching sound health
practices, and by addressing lifestyle induced problems that affect
well-being.
ELIGIBILITY
Anyone may request Public Health Nursing Services. These services are given
through assessment and teaching individually in the home, and/or in groups
in community settings.
There are no fees for Public Health Nursing Services but various
eligibility criteria may apply to some Public Health Nursing Programs.
Fees for clinic services can be partially or totally waived if a client so
requests.
SERVICES
Public Health Nursing Services
A Public Health Nurse can help if you:
- Have an infant or
child and need information regarding:
- growth and
development
- parenting
- nutrition
- child safety
issues
- discipline
- signs and
symptoms of illness
- Are pregnant or
preparing for pregnancy
- Need immunizations
- Are exposed to a
communicable disease such as Tuberculosis, Hepatitis
- Want information
about family planning
- Have questions
about a health problem for yourself or any member of your family
- Need to find
medical care
- Need a referral for
help regarding drugs, alcohol or HIV/AIDS
- Experienced a
perinatal or infant loss
- Need information
regarding Domestic Violence
- Need information
about community resources
Clinic Services
- Well Child Exams
- Immunizations
- TB Treatment,
Prevention and Follow-up
- HIV/AIDS Screening
- Pregnancy Tests
- STD (Sexually
Transmitted Diseases) Testing at select locations - call for days/times
Instructions for Making a Public Health Nurse
Referral
- Contact the Public
Health Center in your region (see below).
- Referral
information should include:
- name, address and
zip code of referred person or family
- friend or family
contact name and phone number (if available)
- phone number
(home/business), if available
- source of
referral, e.g., your name, agency, and address and phone number
- reason for
referral and pertinent health information
- principal
language spoken
SPECIFICS
FOR CHILDREN IN FOSTER CARE
None
FOR MORE INFORMATION
Central Region Public Health Center
5202 University Ave.
San Diego, CA 92105
Ph: (619) 229-5400
Fx: (619) 229-5489
East Region Public Health Center
855 East Madison Ave.
El Cajon, CA 92020
Ph: (619) 441-6532
Fx: (619) 441-6531
North Central Public Health Center
2440 Grand Ave.
San Diego, CA 92109
Ph: (858) 490-4400
Fx: (858) 490-4479
North Inland Public Health Center
606 East Valley Parkway
Escondido, CA 92025
Ph: (760) 740-400
Fx: (760) 740-4003
North Coastal Public Health Center
104 South Barnes St.
Oceanside, CA 92054
Ph: (760) 967-4401
Fx: (760) 967-4644
County Health Services Complex
3851 Rosecrans St.
San Diego, CA 92110
Ph: (619) 692-8550
South Region Public Health Center
690 Oxford St.
Chula Vista, CA 91911
Ph: (619) 409-3110
Fx: (619) 409-3113
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Outpatient
Psychiatry, Rady Children's Hospital San Diego
HISTORY/MISSION
Children's Outpatient Psychiatry Clinic provides outpatient mental health
services with a primary focus on children and adolescents up to 18 years of
age. The purpose is to assist children and their families with emotional,
behavioral, and learning problems.
ELIGIBILITY
All children, ages 3-to 17-years, are eligible for services. These services
are covered by many insurance plans including MediCal
SERVICES
The clinic treats a diverse population offering comprehensive diagnostic
evaluation, followed by interdisciplinary team review to determine the
disposition and the most appropriate treatment plan.
Services include:
- Individual therapy
- Family therapy
- Group therapy
- Psychological
testing
- Medication
evaluation
- Chemical
dependency
The Clinic treats a wide variety of problems such as:
- Anxiety disorders
- Psychosis
- Attention deficit
disorders
- Eating disorders
- Chemical
dependency
- School phobias
- and many other
disorders
FOR MORE
INFORMATION
San Diego
3665 Kearny Villa Road, Suite 101
San Diego, CA 92123
Ph: (858) 966-5832
Fx: (858) 966-6733
Rancho Bernardo
11770 Bernardo Plaza Court, #260
San Diego, CA 92128
Ph: (858) 487-9050
Fx: (858) 451-8453
Oceanside
4120 Waring Road
Oceanside, CA 92056
Ph: (760) 758-1480
Fx: (760) 945-0758
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UCSD Infant Special Care Follow-Up
Program (ISCFU)
HISTORY/MISSION
The UCSD Infant Special Care Follow-up Program's (ISCFU) mission is to:
- Provide
neurodevelopmental screening for infants and children born at risk for
neurodevelopmental problems. The program includes infants and children
without identified risk factors who are exhibiting developmental
delays.
- Counsel parents
about developmental expectations and community resources available.
- Educate families
and health professionals about neurodevelopmental issues.
The ISCFU does not provide primary care. If an acute
medical problem presents at the time of the ISCFU visit, the primary care
provider is contacted regarding treatment and ongoing follow-up.
Subspecialty referrals are made through the primary care provider. Children
are referred for primary care if no provider is identified by the family.
ELIGIBILITY
High-risk, premature, and/or drug-exposed infants and children up to three
years adjusted age. Pediatricians, community service agencies, and parents
can refer directly any child in their care for concerns regarding
development and/or behavior.
The ISCFU accepts the following insurance: MediCal, MediCal managed care,
Private Insurance, CHDP, CHAMPUS*, Contract-based* (*prior authorization
needed).
SERVICES
UCSD Infant Special Care Follow-up Program provides the following services:
- Pre-Discharge neurobehavioral
evaluation
- Periodic
neurodevelopmental screening between birth and 36 months (adjusted
age), as needed, including:
- comprehensive
chart review
- interim medical
history
- psychosocial
evaluation
- standardized
developmental screen (Gesell)
- standardized
neurologic screen (Amiel-Tison)
- physical
examination
- anticipatory
guidance and parent counseling
- case conference
review (ISCFU staff, OT, PT and audiologist)
- A report of the
neurodevelopmental assessment provided to the referring physician or
agency
- Referral to
services as needed (i.e. occupational therapy, physical
therapy,audiology, Regional Center, CCS, PHN and education)
- Coordination of
neurodevelopmental follow-up services
Services are provided at this clinic location:
- UCSD Ambulatory
Care Center - 2nd floor
4168 Front Street
San Diego, CA 92103
SPECIFICS
FOR CHILDREN IN FOSTER CARE
Foster parents should have authorization to obtain medical care forms.
FOR MORE INFORMATION
Yvonne E. Vaucher, M.D., M.P.H.
Martha G. Fuller, R.N., M.S.N., P.N.P.
Infant Special Care Follow-up Program
UCSD Medical Center
200 West Arbor Drive
San Diego, CA 92103-8452
Ph: (619) 543-3771
Fx: (619) 543-7543
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|
To
guide parents and professionals alike, we have listed names of agencies and
groups by the services they offer, specifically: developmental
and educational services, physical, mental and dental
health care agencies, support and advocacy groups, and family support and child protection programs. Each of the
below agencies has provided their history/mission statement, services offered,
eligibility criteria, any specifics for children in foster care, and ways for
families to find out more information.