HPSM Medi-Cal

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: 

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

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.