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What medical conditions does CCS cover

Only certain conditions are covered by CCS. In general, CCS covers medical conditions that are physically disabling or require medical, surgical, or rehabilitative services. There also may be certain criteria that determine if your child's medical condition is eligible. Listed below are eligible medical conditions that may be covered and some examples of each:

  • Conditions involving the heart (congenital heart disease)

  • Neoplasms (cancers, tumors)

  • Disorders of the blood (hemophilia, sickle cell anemia)

  • Endocrine, nutritional, and metabolic diseases (thyroid problems, PKU, diabetes)

  • Disorders of the genito-urinary system (serious chronic kidney problems)

  • Disorders of the gastrointestinal system (chronic inflammatory disease, diseases of the liver)

  • Serious birth defects (cleft lip/palate, spina bifida)

  • Disorders of the sense organs (hearing loss, glaucoma, cataracts)

  • Disorders of the nervous system (cerebral palsy, uncontrolled seizures)

  • Disorders of the musculoskeletal system and connective tissues (rheumatoid arthritis, muscular dystrophy)

  • Severe disorders of the immune system (HIV infection)

  • Disabling conditions or poisonings requiring intensive care or rehabilitation (severe head, brain, or spinal cord injuries, severe burns)

  • Complications of premature birth requiring an intensive level of care

  • Disorders of the skin and subcutaneous tissue (severe hemangioma)

  • Medically handicapping malocclusion (severely crooked teeth) Special screening criteria must be met