Whole Child Model: Qualifying Conditions

While the Whole Child Model program does not cover all health conditions, it covers most physical or chronic conditions that need to be treated with medicines, surgery or rehabilitation, including: 

  • Congenital heart disease 
  • Cancers 
  • Tumors 
  • Hemophilia 
  • Sickle cell anemia 
  • Thyroid problems 
  • Diabetes 
  • Serious chronic kidney problems 
  • Liver disease 
  • Intestinal disease 
  • Cleft lip/palate 
  • Spina bifida 
  • Hearing loss 
  • Cataracts
  • Cerebral palsy
  • Seizures under certain circumstances 
  • Rheumatoid arthritis 
  • Muscular dystrophy 
  • AIDS 
  • Severe head, brain or spinal cord injuries 
  • Severe burns 
  • Severely crooked teeth

If your child qualifies for Whole Child Model, your child’s doctor will treat him or her for the qualifying condition(s). You will also be assigned a dedicated care coordination team to ensure your child receives the treatment he/she needs.