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Dental Access for California Children ServicesCalifornia Children Services (CCS)
Dental Access


California Children Services (CCS) helps children with certain diseases, physical limitations, or chronic health problems. CCS provides treatment, medical equipment, case management, and physical/occupational therapy. Most dental and orthodontic coverage is through the child’s full scope Medi-Cal/Denti-Cal, however CCS may provide case management for children with qualifying conditions. Denti-Cal providers (dentists, oral surgeons, orthodontists that accept Medi-Cal) provide treatment.


CCS children may face difficult challenges in maintaining a healthy mouth.  CCS can help access dental services for children whose health conditions affect or are affected by their oral condition.

CCS children with special dental concerns include those with:

  • Cleft lip/palates
  • Craniofacial anomalies
  • Congenital heart disease
  • Seizure disorders
  • Immune deficiencies
  • Cerebral palsy
  • Hemophilia and other blood disorders
  • Neoplasms (ie. leukemia)
  • Rheumatoid arthritis
  • Renal disease
  • Cystic fibrosis
  • Transplant recipients


Orthodontics is provided to children with a medical necessity. Denti-Cal determines whether or not the child meets the medical necessity criteria. Treatment includes braces, dental services, and jaw surgery if indicated.

CCS children with special orthodontic needs include those with:

  • Cleft lips/palates:  an incomplete closure of the lip and/or palate present at birth commonly resulting in missing or abnormally positioned teeth.
  • Cranio-facial Anomalies: an abnormal growth or shape of the face that may affect teeth and/or jaw.
  • Handicapping Malocclusion:  teeth that do not come together properly because they are so severely twisted, overlapping, or protruding and/or the jaw is not lined up correctly.

CCS Requirements and Program Information:

Children with health conditions covered by CCS must be under age 21 and must meet financial and residential requirements.

For more details and referral information contact San Francisco County California Children Services at (415) 575-5700.