Whole Child Model
The Whole Child Model is a partnership between HPSM and San Mateo County to deliver coordinated care and services to eligible children with complex medical conditions. It was known as the California Children’s Services Pilot until 2018.
Who is eligible
Children under 21 years of age with certain diseases or health problems.
What is covered
HPSM’s Whole Child Model can help pay for these and other services and treatments (if they are deemed medically necessary):
- Doctor/specialist visits
- Hospital stays
- Lab tests and x-rays
- Mental health services
- Medical supplies
- Orthopedic appliances
- Medical equipment (e.g., wheelchairs, hearing aids, etc.)
- Physical, occupational and speech therapy
- In-Home Nursing Services (IHSS)
The Whole Child Model is part of HPSM’s Medi-Cal program. There is no extra cost for the Whole Child Model. If your child is covered under Medi-Cal, HPSM will continue to pay for the services that your child needs, regardless of whether your child
qualifies for Whole Child Model.
If you have a child who is eligible for the program, HPSM will notify you. If you or your PCP believes your child is eligible for program, fill out an application.
To learn more about the Whole Child Model, call 1-800-650-2500 (TTY 1-800-735-2929 or dial 7-1-1).
Youth Transition Guides
When kids in the Whole Child Model program turn 21, they age out of program. Then they get their health insurance through HPSM’s Medi-Cal plan. Preparing for this change is called transition planning. The age-specific transition guides below are designed to help kids make that change. They include easy-to-use checklists and helpful community resources to support their success in school, work and other areas of adult life.