Some families may be required to pay an annual assessment fee and / or annual enrollment fee. These fees are used to help cover the cost of treatment, processing applications, telephoning hospitals, physicians and other caregivers, mailing authorizations to these caregivers, and coordinating care with other agencies. All of these services are provided by the California Children Services program to ensure that clients receive the best care possible from physicians and specialists who provide medical care to children. The annual assessment fee is $20 and the annual enrollment fee is calculated based on family and income size. contact us at 530-265-1450 for further questions.