Abstract
Provision and timing of orthodontic treatment is a crucial part of comprehensive cleft palate and craniofacial care. Some states statutorily mandate orthodontic coverage for the medically necessary care of cleft palate and craniofacial anomalies. However, application of the medically necessary standard varies broadly. Disputes over medical necessity lead to orthodontic coverage denials and surgical intervention delays. Provider-friendly statutory definitions of medical necessity enable patients and providers to avoid such hurdles. The objective of this study is to evaluate state mandates and highlight language favorable to patients and providers.
Original language | English |
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Pages (from-to) | 466-469 |
Number of pages | 4 |
Journal | Cleft Palate-Craniofacial Journal |
Volume | 55 |
Issue number | 3 |
DOIs | |
State | Published - Mar 2018 |
Keywords
- Cleft lip
- Cleft palate
- Craniofacial
- Insurance
- Orthodontics
- Third-party coverage