1. Pediatric Palliative Care

2. AB 1745  Requirements Pediatric Palliative Care Benefit  Waiver application  Pilot project Services Eligible population Providers  Evaluation Length of time for pilot Determination of effectiveness

3. AB 1745  Timelines Submit waiver to Federal CMS within 12 months Implement within 12 months of approval by Federal CMS

4. Our Vision  Waiver administration  Pilot project structure Patient population Available benefits Geographic areas Case management Data collection  Evaluation

5. CCS Program  Eligibility Under 21 years of age Medical condition Financial Residential  Case management Authorization and payment of services Medi-Cal providers

6. CCS Program  Benefits Medically necessary health care services Special Care Center Services  Multispecialty, multidisciplinary teams Physicians Nurse specialists Social workers Dietitians  Care coordination  Family-centered care

7. CCS Program  Benefits Services in the home  Home health agency services Skilled nursing Home health aides Physical and occupational therapy Social worker  DME  Medical Supplies  Pain management/symptom control

8. CCS Program  Constraints Hospice Benefit Eligibility

9. Other states  Florida  Colorado  Washington

10. Constraints?  Hospice statute  Geographic distribution