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[To Survey Administrator: Please see bolded instructions in brackets where they apply. Instructions are listedbelow questions][Please note: the Family Health Outcomes Project will not be accepting written surveys, any survey that youfill out on paper MUST be entered into the survey online via the Survey Monkey Link.Here is how you can enter it into your browser: https://www.surveymonkey.com/r/CYSHCNSurvey19-ENG orclick the link above]Title V Children with Special Health Care Needs - Family SurveyFamily Survey - IntroductionPlease fill out this survey if you have a child w ith one or more special health care needs, and you get healthcare for this child in California. Some questions are about California Children's Services, also know n asCCS. California Children's Services (CCS) is a state program for children w ith certain diseases or healthproblems. Through this program, children up to 21 years old can get the health care and services they need.CCS can connect you w ith doctors and trained health care people w ho know how to care for children w ithspecial health care needs. If your child does not have CCS or if you are unsure, you can skip thesequestions.If you have more than one child w ith special health care needs, please fill out the survey for the child thathas CCS. If none of your children has CCS, or more than one child has CCS, please fill out the survey foryour child w ho has the most health care needs.The California Department of Health Care Services w ants to know what you think about CCS, and otherhealth care programs, and how they meet the health needs of your child. This survey is anonymous. Noansw ers will be linked to your name. If you do not w ant to answ er a question, you do not have to.If you are 18 years of age or older w ith a special health care need, and w ill answ er this survey for yourself,w e mean you w hen w e say “your child.” Please answer each question based on you.1. How old is your child?[There will be a dropdown menu to select an age, you DO NOT need to read off all of the ages, simply waitfor the participant to reply and then select the answer from the drop-down list.]Title V Children with Special Health Care Needs - Family Survey2. Is your child w ith special health care needs of Hispanic, Latino, or Spanish origin?Y esNo3. Which of the follow ing categories best describes the race of your child? (choose all that apply)White or CaucasianBlack or African AmericanAsian, Pacific Islander, or Southeast AsianNativ e American, American Indian, Aleut, or EskimoMultiracial1

Other (please specify)2

Title V Children with Special Health Care Needs - Family Survey4. Is English the primary language spoken in your home?Y esNo[SKIP LOGIC: If the participant answers YES, skip to Q7. If they answer NO, proceed to Q5]Title V Children with Special Health Care Needs - Family SurveyInterpretation Questions5. How often do you need an interpreter to help you speak w ith doctors and nurses?AlwaysUsuallySometime sRarelyNev er6. How often are interpretation services available?AlwaysUsuallySometime sNev erNot SureTitle V Children with Special Health Care Needs - Family SurveyContinued Family Survey7. What California County does your child live in?[There will be a dropdown menu to select a county, you DO NOT need to read off all of the counties,simply wait for the participant to reply and then select the answer from the drop-down list.]Title V Children with Special Health Care Needs - Family SurveyConditions3

8. Has a doctor or other health care provider ever told you that your child had or has any of the conditionsin the list below ? If yes, does the child currently have the condition, and is/w as that condition mild,moderate, or severe? From the table below , select all that apply:Ev er Had Condition?Has Condition Now?Mild, Moderate, or Sev ere?Attention Deficit Disorderor Attention DeficitHy peractive Disorder(ADD or ADHD)AllergiesAnxiety ProblemsArthritis or Joint ProblemsAsthmaAutism, Asperger’sDisorder, PervasiveDev elopmental Disorder(PDD), or AutismSpectrum Disorder (ASD)Behav ioral or ConductProblemsBlindness or ImpairedVisionBlood Problems otherthan Hemophilia or SickCell AnemiaBroken BonesCancer, TumorsCerebral PalsyClef t Lip/Cleft PalateCongenital Heart DiseaseCy stic FibrosisDiabetesDepressionDental ProblemsDev elopmental DelayDiabetesDown Sy ndromeEpilepsy or SeizureDisorderGenetic DisorderHead Injury, Concussion,or Traumatic Brain InjuryHearing Loss4

Ev er Had Condition?Has Condition Now?Mild, Moderate, or Sev ere?Heart ProblemsHemophiliaHIV or AIDSInf ectious DiseaseIntellectual DisabilityIntestinal orGastrointestinal ProblemKidney Disease or OtherKidney ProblemsLiv er ProblemsLung DiseaseMental Health Problem(Other than Depression)Migraine or FrequentHeadachesMuscular DystrophySickle Cell Anemia (Traitor Disease)Spinal Bif idaSpinal Cord InjuryOther (please specify for as many conditions as you need to)[For this question, read down the list of conditions—when a participant notes that a doctor has told themtheir child had or has the condition, read across ONLY for those conditions (so you are not reading acrossfor every single condition). For these drop-down menus, please read them all of the options as follows andselect their choice:Ever Had Condition?: Yes No Not SureHas Condition Now?: Yes No Not SureMild, Moderate, Severe?: Mild Moderate Severe]Title V Children with Special Health Care Needs - Family SurveyHealth Coverage9. Is this child covered by any of the follow ing types of health insurance or health coverage plans? Check5

all that apply:Calif ornia Children's Services (CCS)Medi-CalPriv ate InsuranceI don't knowMy child is not insuredOther (please specify)[SKIP LOGIC: If the participant answers Medi-Cal, proceed to Q10, if they select any other option, SKIP TOQ11]Title V Children with Special Health Care Needs - Family Survey6

Medi-Cal Managed Care Health Plans10. If you know , what is the name of your child's Medi-Cal Managed Care Health Plan?[There will be a dropdown menu to select Medi-Cal Managed Care Health Plans, please read the followingoptions for the participant to select from: Aetna Better Health of CaliforniaAlameda Alliance for HealthAltaMedAnthem Blue Cross Partnership PlanBlue Shield of California Promise Health PlanCalifornia Health and WellnessCalOptimaCalViva HealthCentral California Alliance for HealthCenCal HealthContra Costa Health PlanGold Coast Health PlanHealth Net Community Solutions, Inc.Health Plan of San MateoHealth Plan of San JoaquinInland Empire Health PlanKaiser PermanenteKern Family HealthL.A. Care Health PlanMolina Healthcare of California Partner Plan, Inc.Partnership Health Plan of CaliforniaRady Children’s HospitalSanta Clara Family Health PlanSan Francisco Health PlanUnited Healthcare Community PlanI don’t knowNot Applicable – My child has Medi-Cal Fee-For-Service]Title V Children with Special Health Care Needs - Family SurveyContinued Family Survey - Services11. Do you need more information about w hat services your health insurance or Health Plan covers foryour child? If yes, please select w hich health insurance or Health Plan you w ould need more informationabout:Calif ornia Children's Services (CCS)Medi-CalPriv ate InsuranceI don't knowMy child is not insuredI do not need more inf ormation about servicesOther (please specify)7

Title V Children with Special Health Care Needs - Family SurveyServices8

12. During the past 12 months w as there any time w hen your child needed the follow ing services:ServiceReceiv ed All Needed Care?Serv ice 1Serv ice 2Serv ice 3Serv ice 4Serv ice 5Serv ice 6Serv ice 7Serv ice 8Serv ice 9Serv ice 10AdditionalServ ices (Other)Other (please specify any other services you did not get to list above)[Please read the dropdown menus for each row at a time until the participant states that there are noadditional services that were needed in the previous 12 months. Before reading the services say “Did yourchild need ”:Services: Communication Aids or DevicesDental Checkup & Teeth CleaningDurable Medical EquipmentEyeglasses or Vision CareHearing Aids or Hearing CareHome Health CareHospitalization (In-patient Stay)Mental or Behavioral Health Care or CounselingMedicationsOther Dental CarePain ManagementPhysical or Occupational TherapySpecialty CareSpeech TherapySubstance Abuse Treatment or CounselingWell-Child Check-upX-RaysReceived All Needed Care?: Yes - Received all needed care Some - Received some not all No - Did not receive care Not Sure]9

13. During the past 12 months, if there w as any time w hen your child did not receive needed services, please select the mainreason w hy from below:ServiceMain Reason f or Not Receiving Care?Serv ice 1Serv ice 2Serv ice 3Serv ice 4Serv ice 5Serv ice 6Serv ice 7Serv ice 8Serv ice 9Serv ice 10AdditionalServ ices (Other)Other (please specify any other services you did not get to list above)[Go through the list of services from the previous question (Q12) and, for services that were NOT received,once you have selected the service that corresponds with the service from Q12, ask them “what was themain reason that your child did not receive care for this service?” YOU DO NOT NEED TO READ THEANSWER CHOICES TO THEM; you can simply select the answer choice from the list (added below) thatbest matches their answer:Main Reason for Not Receiving Care?: Cost was too much or too high No insurance Health Plan problem CCS Problem Whole Child Model Problem Difficulty getting authorizations Can’t find a provider who accepts my child’s insurance Not available in my area Transportation problems Not convenient times for an appointment Could not get an appointment No translation services available Provider did not know how to treat my child’s illness Dissatisfied with the provider from previous appointments Did not know where to go for treatment Child refused to go Treatment is ongoing (still happening now) No referral to this service Lack of resources at school Neglected or forgot appointment Never Explained1

Could not find a provider for this serviceOther]1

Title V Children with Special Health Care Needs - Family SurveyExperienced a delayed care14. During the past 12 months w as there any time w hen your child needed the services you listed in theprevious questions and you experienced delays in getting those services?:Experienced Delay in Receiving Care?ServiceServ ice 1Serv ice 2Serv ice 3Serv ice 4Serv ice 5AdditionalService s(Other)Other (please specify)[Go through the list of services from question 12 (two questions ago) for services that WERE received, askthem “Did you experience a delay in receiving this care for your child?” YOU DO NOT NEED TO READ THEANSWER CHOICES TO THEM; you can simply select the answer choice from the list (added below) that bestmatches their answer:Experienced Delay in Receiving Care?: No, there was no delay Yes, there was a delay of 1 month or less Yes, there was a delay of 1-2 months Yes, there was a delay of 2-4 months Yes, there was a delay of 4-6 months Yes, there was a delay of 6-8 months Yes, there was a delay of 8-10 months Yes, there was a delay of 10 to 12 months Yes, there was a delay of a year or more]1

15. During the last 12 months, did your child need any services that their insurance did not cover? Pleasecheck all that apply:Communication Aids or DevicesOther Dental Care (e.g., braces)Dental Checkup & Teeth CleaningPain ManagementDurable Medical Equipment (e.g., Orthotics/braces,Wheelchair, etc.)Phy sical or Occupational TherapySpecialty CareEy eglasses or Vision CareSpeech TherapyHearing Aids or Hearing CareSubstance Abuse Treatment or CounselingHome Health CareWell-Child Check-upHospitalization (In-patient Stay)X-Ray sMental or Behav ioral Health Care or CounselingMedications16. Does your child’s health insurance allow your child to see the health care providers that your childneeds?AlwaysUsuallySometime sNev erNot Applicable1

17. Thinking specifically about this child’s m ental or behavioral health needs, how often does this child’shealth insurance offer benefits or cover services that meet those needs?AlwaysUsuallySometime sNev erDon't Know/Not SureNot Applicable18. Is there a place that this child USUALLY goes w hen they are sick and you or another caregiver needsadvice about his or her health?Y esNoNot SureTitle V Children with Special Health Care Needs - Family SurveySpecialists19. During the past 12 months, how many times did your child see a doctor, nurse, or other health careprofessional for sick-child care, well-child check-ups, physical exams, hospitalizations or other kind(s) ofmedical care?01245678 20. During the past 12 months, how many times did your child receive a w ell-child check-up, which is ageneral check-up, w hen they were NOT sick or injured?0123 1

21. During the past 12 months, how many times did your child visit a hospital emergency room?01234 22. Specialists are doctors like surgeons, heart doctors, allergy doctors, skin doctors, and other doctorsw ho focus on one area of health care. How many different specialist doctors has your child seen in the last12 months?012345 23. How many times did your child see a specialist(s) in the last year?012345 24. In the last 12 months, how often was your child able to see a specialist w hen needed?AlwaysUsuallySometime sNev erNot Applicable1

25. In the last 12 months, how often was your child able to see a specialist in a quick and timely manner?(As a quick reminder, specialists are doctors like surgeons, heart doctors, allergy doctors, skin doctors, andother doctors w ho focus on one area of health care.)AlwaysUsuallySometime sNev erNot Applicable[SKIP LOGIC: If the participant answers ALWAYS, USUALLY or NOT APPLICABLE, skip to Q27. If theparticipant answers SOMETIMES or NEVER, proceed to Q26]1

Title V Children with Special Health Care Needs - Family SurveySpecialists we couldn't see in a quick and timely manner26. What type(s) of specialist(s) were you NOT able to see in a quick and timely manner? (check all thatapply)Allergy /Immunology (related to allergic conditions andimmune system)Neurosurgery (relating to brain and nerves)Cardiology (relating to the heart)Newborn Medicine (relating to care for newborns with specialneeds)Dermatology (relating to skin)Nutrition (relating to feeding and growth)Dev elopmental Medicine (relating to behavior anddev elopment)Ophthalmology (relating to the eyes)Otolary ngology (relating to ear, nose and throat)Endocrinology (relating to growth, hormones, includingdiabetes)Plastic Surgery (relating to surgeries such as cleft lip/cleftpalate procedures)Gastroenterology (relating to the digestive system)Psy chiatry (relating to behavior and mental health)General Surgery (for procedures such as inserting feedingtubes, breathing tubes, other)Pulmonology (relating to lungs and breathing)Genetics (relating to inherited conditions)Rheumatology (relating to joints, immune system)Gy necology (relating to the female reproductive system)Sports Medicine/Orthopedics (relating to musculoskeletalsy stem)Hematology (relating to blood)Urology (relating to urinary tract, male reproductive system)Nephrology (relating to the kidney)Neurology (relating to seizures, headaches and muscles)Title V Children with Special Health Care Needs - Family SurveyContinued Family Survey - Communication & Resources27. Do you know w hom to call to get answ ers about your child’s care or insurance (for example if servicesare denied and you w ant to ask w hy)?Y esNoNot SureNot Applicable28. Do you know how to file a grievance or complaint about your child’s health care?Y esNoNot SureNot Applicable[SKIP LOGIC: If the participant answers NO, NOT SURE or NOT APPLICABLE, skip to Q30. If they answer YES,proceed to Q29]10

Title V Children with Special Health Care Needs - Family SurveyGrievance Filing29. Have you ever filed a complaint or grievance about your child's health care?Y esNoTitle V Children with Special Health Care Needs - Family SurveyContinued Family Survey - Care Coordination & Case Management*Key Definition - A Case Manager helps get appointments with special doctors and care for yourchild, and helps get referrals to other agencies, including public health nursing and RegionalCenters.30. Has your child/family been assigned a case manager?Y esNoDon’t Know/Not Sure[SKIP LOGIC: If the participant answers YES, proceed to Q31. If they answer NO or NOT SURE, then SKIP toQ33]Title V Children with Special Health Care Needs - Family SurveyCase Manager Questions31. Who does case management for your child? Check all that apply:County CCSMy Health PlanRegional CenterCCS Special Care CenterOther (please specify)32. How satisfied have you been in the past 12 months w ith how your case manager helps your childconnect with services?Alway s SatisfiedUsually SatisfiedSometimes SatisfiedNev er SatisfiedNot Applicable, have not had contact with the case manager in the past 12 months11

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Title V Children with Special Health Care Needs - Family SurveyContinued Family Survey - Care Coordination33. In addition to yourself and your family, w ho helps to arrange or coordinate care for your child? Check allthat apply:Nurse Case ManagerCase Manager at my Health PlanSomeone at my child’s primary care doctor’s officeSomeone at my child’s Special Care Clinic/CenterCounty CCS Case ManagerChild’s schoolNobody helps to coordinate care for my childDon’t Know/Not SureOther (please specify)34. During the past 12 months, have you felt that you could have used extra help getting, setting up orcoordinating your child’s care among the different health care providers or services?AlwaysUsuallySometimesNev er - I did not need extra help in the past twelve monthsDon’t Know/Not Sure[SKIP LOGIC: If the participant answers ALWAYS, USUALLY or SOMETIMES, proceed to Q35. If they answerNEVER or DON’T KNOW/NOT SURE, then SKIP to Q36]Title V Children with Special Health Care Needs - Family SurveyExtra Help35. How often during the past 12 months did you get as much help as you w anted with arranging orcoordinating your child’s care?AlwaysUsuallySometime sNev erDon’t Know/Not SureTitle V Children with Special Health Care Needs - Family SurveyContinued Family Survey - Care Coordination cont.13

36. How often are your child’s services coordinated in a w ay that makes them easy to use?AlwaysUsuallySometime sNev erDon’t Know/Not SureNot Applicable[SKIP LOGIC: If the participant answers USUALLY, SOMETIMES or NEVER, proceed to Q37. If they answerALWAYS or DON’T KNOW/NOT SURE, then SKIP to Q38]Title V Children with Special Health Care Needs - Family SurveyCoordinating Services37. Can you think of w hat might make your child's services more coordinated in a w ay that is easier for youto use? If so, please w rite in your suggestion:38. How often is it easy to coordinate therapy (physical therapy, occupational therapy) for your child in theschool setting?AlwaysUsuallySometime sNev erDon’t Know/Not SureNot Applicable – my child does not need therapy in the school setting39. Have your child’s doctors or other health care providers w orked with you and this child to create aw ritten plan to meet the child’s health goals and needs?Y esNoDon’t Know/Not Sure40. Do you and your doctor/provider work together as partners to make health care decisions?Alway sMost of the timeSome of the timeNev er14

41. Do you and your doctor/provider talk about the range of treatment and care choices for yourchild/youth?Alway sMost of the timeSome of the timeNev er42. How often did your child’s doctor and/or other health care providers spend enough time w ith you andyour child?Alway sMost of the timeSome of the timeNev er43. Does your provider honor your requests for others (extended family, community elders, faith leaders ortraditional healers that are designated by the family) to participate in the process that leads to decisionsabout care?Alway sMost of the timeSome of the timeNev er44. In the last 12 months, have you had any problems getting special Medical Equipment or Devices (suchas a w alker, wheelchair, nebulizer, incontinence supplies, feeding tubes, or oxygen equipment) or MedicalSupplies (such as diapers, gloves, etc.)?How of ten did you have problemgetting it?What was the main reason for the problem?MedicalEquipment orDev iceMedicalSuppliesOther (please fillin the commentbox below andanswer acrosshere)Other (please specify)[Please read dropdown menus for each selection across as follows:How often did you have problems getting it?: Always Usually Sometimes Never No ApplicableWhat was the main reason for the problem?: CCS would not authorize15

Health Plan would not authorizeI could not afford itI could not get a hold of my insurer to ask for itI could not get a provider to write a prescriptionNot a Medi-Cal BenefitProblems about who would pay for itCould not find a vendor to provide the equipment or suppliesNo vendor available that serves my countyOtherNot Applicable]45. What equipment, device(s) or supplies did you have problems getting? Please specify below:16

Title V Children with Special Health Care Needs - Family SurveyTransition to Adult CareWhen your child grows up and becomes an adult, they w ill move from having doctors who takecare of children to having doctors who take care of adults. The next questions are about thistransition.46. Is your child 14 years or older?Y esNo[SKIP LOGIC: If the participant answers NO, skip to Q53. If participant answers YES, proceed to Q47.]Title V Children with Special Health Care Needs - Family SurveyTransition Questions47. Have doctors or other health care providers talked w ith your child about how their health care needs w illbe met w hen your child turns 21?Y esNoDon’t know/Not sure48. Have any of the follow ing people or organizations helped your child find an adult medicalprovider? Check all that apply:CCSHealth PlanOur PediatricianNone of the aboveOther (please specify)49. If yes, w ere you able to find an adult doctor or provider?Y esNoDon’t Know/Not Sure17

50. If more information about moving from child to adult services would be helpful to you, in w hat waysw ould it be most helpful? (check all that apply below ):Face-to-face with providerBrochure or other reading materialsLetter in the mailSocial media groupSocial media v ideoAt schoolAt Medical Therapy Unit (MTU)Patient support group/servicesWorkshop or info sessionMore inf ormation about moving from child to adult services would NOT be helpful to me51. What information about transition from child to adult care for your child w ould be helpful?Title V Children with Special Health Care Needs - Family SurveyFamily Impact & Needs52. Does your provider ask about your family’s w ell-being (adults and children) and their needs forsupport?Alway sMost of the timeSome of the timeNev er18

53. During the past 12 months w as there any time w hen you or other family members needed the follow ing servicesand did not receive them?:Family Service needed?How of ten did your family get allneeded care?Reason f or NOT receiving service or EmotionalSupport orCounselingHelp withLegalIssuesHelp withHousingIssuesHelp withAccessingFoodAssistan ceand OtherGov ernmentBenef itsOther(please f ill inbelow andansweracross f orthat service)Other (please specify)[For this question, read down the list of services—when a participant notes that this is a service that theyneeded or their family needed, read across ONLY for those services (so you are not reading across forevery single service, unless the participant says yes to every single service). For these drop-down menus,please read them all of the options as follows and select their choice:How often did your family get all needed care?: Always Usually Sometimes Never Don't Know/Not Sure PLEASE NOTE, YOU DO NOT HAVE TO READ ALL OF THESE, YOU CAN SELECT THE ANSWER THATBEST MATCHES IF YOU ARE RUNNING LOW ON TIME. Reason for NOT receiving service or care: Cost was too much or too high No insurance Health Plan problem CCS Problem Whole Child Model Problem Difficulty getting authorizations Can’t find a provider who accepts my insurance Not available in my area Transportation problems Not convenient times for an appointment19

Too busyCould not get an appointmentNo translation services availableProvider did not know how to treatDissatisfied with the provider from previous appointmentsDid not know where to go for treatmentTreatment is ongoing (still happening now)No referral to this serviceLack of resourcesNeglected or forgot appointmentNever ExplainedCould not find a provider for this serviceI feel embarrassed about needing this serviceI feel unsafe in seeking this serviceOther]54. What is your annual family income?Less than 20,000 20,000 to 34,999 35,000 to 49,999 50,000 to 74,999 75,000 to 99,999Ov er 100,00055. What is the highest level of education that you have completed?Middle schoolSome high schoolHigh school diploma or GEDSome collegeCollege bachelor’s degreeGraduate lev el degree or higher20

56. How many hours per w eek do you or other family members spend arranging or coordinating care?0 - 5 hours per week6 - 10 hours per week11 - 15 hours per week16 - 20 hours per week20 hours per weekOther (please specify)57. How many hours per w eek do you or other family members spend providing care for your child’smedical condition at home for your child?0 - 10 hours per week10 - 20 hours per week20 - 30 hours per week30 - 40 hours per week40 - 50 hours per week50 - 60 hours per week60 - 70 hours per week70 hours per weekOther (please specify)58. Have you or other family members ever cut dow n on hours or had to leave a job because of yourchild’s health?Y esNoNot Sure59. Has a health care provider or case manager help linked you w ith support (e.g. family support groups,parent mentors, online support groups, etc.)?Y esNoNot Applicable (haven’t had a need for support)21

60. If you feel that more social and/or emotional support w ould help you or your family cope, w hat kind ofsocial and/or emotional support w ould you like for you or your family? Please check all that apply:Online or telephone support groupIn person support groupParent mentor or parent partnerNot ApplicableOther (please list other social and/or emotional supports here)Title V Children with Special Health Care Needs - Family SurveyOverall Satisfaction with CCS61. If your child is or has been insured w ith CCS, are there any additional comments about the CCSprogram or other services that your child has received that you w ould like to share? (Note: if you havenever had CCS services for your child, please skip this question)62. What is your overall satisfaction w ith CCS services? (Note: if you have never had CCS services foryour child, please skip this question)0 – Very Dissatisfied12345678910 – Very satisfiedTitle V Children with Special Health Care Needs - Family SurveyOverall Satisfaction with Health Plan or Health Insurer22

63. What is your overall satisfaction w ith the services that your Health Plan provides for your child? If yourchild does not have health insurance at all, please feel free to skip this question.0 – Very Dissatisfied12345678910 – Very satisfiedTitle V Children with Special Health Care Needs - Family SurveyEnd of survey questions64. Who asked you to fill out this survey or sent this survey to you?County CCSHealth PlanLocal Family Resource CenterFamily VoicesChildren NowMy child’s doctorOther (please specify)65. How did you complete this survey?At CCS as part of annual paperworkAt my child’s specialistBy phone (someone called me)By computer (went to Survey Monkey)By smartphone (went to Survey Monkey)Someone interviewed me over the phone in EnglishSomeone interviewed me over the phone in SpanishSomeone interviewed me over the phone in another language20

Thank y ou v ery much for taking the time to fill out this survey. The inf ormation from this survey will be used to help improve the CCSprogram and serv ices for children and youth with special health care needs. If you have any questions about this survey, you cancontact the Family Health Outcomes Project at (415)-476-5283.21

CalViva Health Central California Alliance for Health CenCal Health Contra Costa Health Plan Gold Coast Health Plan Health Net Community Solutions, Inc. Health Plan of San Mateo Health Plan of San Joaquin Inland Empire Health Plan Kaiser Permanente Kern Family H