California Code of Regulations
Title 22 - Social Security
Division 2 - Department of Social Services-Department of Health Services
Part 2 - Health and Welfare Agency-Department of Health Services Regulations
Subdivision 7 - California Children's Services
Chapter 3 - Client Application and Eligibility Requirements
Article 2 - Medical Eligibility
Section 41517.3 - Diseases of the Nervous System

Universal Citation: 22 CA Code of Regs 41517.3

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

(a) CCS applicants with at least one of the following conditions shall be medically eligible for participation in the CCS program:

(1) Noninfectious diseases of the central and peripheral nervous system which produce a neurologic impairment that is life threatening or physically disabling.

(2) Cerebral palsy, a motor disorder with onset in early childhood resulting from a non-progressive lesion in the brain manifested by the presence of one or more of the following:

(A) Rigidity or spasticity.

(B) Hypotonia, with normal or increased deep tendon reflexes, and exaggeration of or persistence of primitive reflexes beyond the normal age range.

(D) Ataxia manifested by incoordination of voluntary movement, dysdiadochokinesia, intention tremor, reeling or shaking of trunk and head, staggering or stumbling, and broad-based gait.

(3) Seizure disorder when either of the following occur:

(A) It is a component of or secondary to a CCS-eligible condition; or

(B) It is of unknown origin and one of the following exists:

1. The frequency or duration of the seizures requires more than four changes in dosage or type of medications in the 12 months preceding the initial or subsequent determination of medical eligibility;

2. The frequency or duration of the seizures requires two or more types of seizure medications each day;

3. The frequency or duration of the seizures requires at least a monthly medical office visit for assessment of the applicant's clinical status and periodic blood tests for medication levels or presence of blood dyscrasia; or

4. The applicant has experienced an episode of Status Epilepticus in which case medical eligibility shall extend for one year following that event.

(4) Congenital anomalies of the nervous system which meet the criteria of section 41518.8.

(b) When the eligibility criteria listed in subsection (a)(3)(B) above have not been present for at least one year, eligibility shall cease.

1. New section filed 5-6-99 as an emergency; operative 5-6-99 (Register 99, No. 19). A Certificate of Compliance must be transmitted to OAL by 9-3-99 or emergency language will be repealed by operation of law on the following day.
2. New section refiled 9-7-99 as an emergency; operative 9-7-99 (Register 99, No. 37). A Certificate of Compliance must be transmitted to OAL by 1-5-2000 or emergency language will be repealed by operation of law on the following day.
3. New section refiled 12-23-99 as an emergency; operative 12-23-99 (Register 99, No. 52). A Certificate of Compliance must be transmitted to OAL by 4-21-2000 or emergency language will be repealed by operation of law on the following day.
4. New section refiled 4-18-2000 as an emergency; operative 4-18-2000 (Register 2000, No. 16). A Certificate of Compliance must be transmitted to OAL by 8-16-2000 or emergency language will be repealed by operation of law on the following day.
5. Certificate of Compliance as to 4-18-2000 order transmitted to OAL 5-24-2000 and filed 7-7-2000 (Register 2000, No. 27).
6. Change without regulatory effect renumbering former section 41517.3 to new section 41445 and renumbering former section 41831 to section 41517.3, including amendment of section and NOTE, filed 1-28-2009 pursuant to section 100, title 1, California Code of Regulations (Register 2009, No. 5).

Note: Authority cited: Sections 20 and 100275, Health and Safety Code. Reference: Sections 123830 and 123835, Health and Safety Code.

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