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 41518.9 - Accidents, Poisonings, Violence, and Immunization Reactions

Universal Citation: 22 CA Code of Regs 41518.9

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

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

(a) Injuries to organ systems or organs which, if left untreated, are likely to result in permanent physical disability, permanent loss of function, severe disfigurement or death;

(b) Fractures of the spine, pelvis, or femur;

(c) Fractures of the skull which, if left untreated, would result in Central Nervous System complications or severe disfigurement;

(d) All other fractures which require open reduction, internal fixation or which involve the joints or growth plates;

(e) Burns, when at least one of the following is present:

(1) Second and third degree burns of greater than 10 percent of the body surface area for children less than 10 years of age;

(2) Second and third degree burns of greater than 20 percent of the body surface area for children greater than 10 years of age;

(3) Third degree burns of greater than five percent of the body surface area for any age group;

(4) Burns involving signs or symptoms of inhalation injury or causing respiratory distress;

(5) Second or third degree burns of the face, ear, the mouth and throat, genitalia, perineum, major joints, the hands and feet; or

(6) Electrical injury or burns, including burns caused by lighting;

(f) Presence of a foreign body when the object, if not surgically removed, would result in death or a permanent limitation or compromise of a body function;

(g) Ingestion of drugs or poisons that result in life threatening events and require inpatient hospital treatment;

(h) Lead poisoning as defined as a confirmed blood level of 20 micrograms per deciliter or above;

(i) Poisonous snake bites that require complex medical management and that may result in severe disfigurement, permanent disability or death;

(j) Other envenomation, such as spider bites, that require complex medical management and that may result in severe disfigurement, permanent disability or death; or

(k) Severe adverse reactions to an immunization requiring extensive medical care.

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 41518.9 to new section 41478 and renumbering former section 41872 to section 41518.9, 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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