@article{f7de1785705f497d9ddefeeea4f12a1e,
title = "Primer on state statutory mandates of third-party orthodontic coverage for cleft palate and craniofacial care in the United States",
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.",
keywords = "Cleft lip, Cleft palate, Craniofacial, Insurance, Orthodontics, Third-party coverage",
author = "Pfeifauf, {Kristin D.} and Alison Synder-Warwick and Skolnick, {Gary B.} and Naidoo, {Sybill D.} and Nissen, {Richard J.} and Patel, {Kamlesh B.}",
note = "Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Research reported in this publication was supported by the Washington University Institute of Clinical and Translational Sciences grant UL1 TR000448 from the National Center for Advancing Translational Sciences (NCATS) of the National Institutes of Health (NIH) and Children{\textquoteright}s Discovery Institute. Publisher Copyright: {\textcopyright} The Author(s) 2017.",
year = "2018",
month = mar,
doi = "10.1177/1055665617736765",
language = "English",
volume = "55",
pages = "466--469",
journal = "Cleft Palate-Craniofacial Journal",
issn = "1055-6656",
number = "3",
}