Comprehensive Care Program

Children's wheelchair

The Comprehensive Care Program (CCP) is Texas' name for the expanded portion of Texas Health Steps. CCP covers services for children birth through 20 years old that are not usually allowed or are more limited under Medicaid for the adult population. CCP is a result of a Congressional mandate that took effect in 1990.

Federal changes made in the Omnibus Reconciliation Act of 1989 (OBRA 89) expanded Medicaid services and Texas Health Steps in particular. Under OBRA 89, children 20 years old and younger are eligible for any medically necessary and appropriate health care service that is covered by Medicaid, regardless of the limitations of the state's Medicaid Program. Texas Health Steps-CCP services include benefits which were not available to children before OBRA 89, such as:

  • Treatment in freestanding psychiatric hospitals
  • Developmental speech therapy
  • Developmental occupational therapy
  • Augmentative Communication Devices/Systems
  • Private Duty Nursing

For more information about CCP and private-duty nursing, visit the Health and Human Services Commission web site. It explains the services provided by Medicaid, Medicaid Managed Care, and the Children’s Health Insurance Program (CHIP), as well as how to access those programs and services.


Last updated June 28, 2012