Provider Bulletin 07-16-2025 REMINDER: Steps to Take When Non-CCS-Approved Hospitals Admit CCS-Eligible Children and Youth for Emergency Inpatient Care IE LA SAC SD

Immediately: Hospital staff must follow CCS transfer protocols for children ages 0-21 with CCS-eligible conditions. For enrolled CCS patients: identify usual CCS facility, contact CCS specialty physician for transfer advice, attempt transfer to CCS-approved facility, notify Molina EDSU at 844-966-5462, document all transfer attempts and physician discussions. For new CCS diagnoses: submit emergency authorization request to county CCS program by close of next business day, speak with county CCS Case Manager or Medical Director, document all approvals in hospital record. Failure to follow these steps may result in non-reimbursement as Molina does not authorize CCS-eligible stays at non-CCS facilities.