Primer on State Statutory Mandates of Third-Party Orthodontic Coverage for Cleft Palate and Craniofacial Care in the United States
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 stand...
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| Veröffentlicht in: | The Cleft palate-craniofacial journal 2018-03, Vol.55 (3), p.466-469 |
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| container_end_page | 469 |
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| container_issue | 3 |
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| container_title | The Cleft palate-craniofacial journal |
| container_volume | 55 |
| creator | Pfeifauf, Kristin D. Snyder-Warwick, Alison Skolnick, Gary B. Naidoo, Sybill D. Nissen, Richard J. Patel, Kamlesh B. |
| description | 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. |
| doi_str_mv | 10.1177/1055665617736765 |
| format | Article |
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| identifier | ISSN: 1055-6656 |
| ispartof | The Cleft palate-craniofacial journal, 2018-03, Vol.55 (3), p.466-469 |
| issn | 1055-6656 1545-1569 |
| language | eng |
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| source | Access via SAGE; MEDLINE |
| subjects | Birth defects Child Cleft Lip - therapy Cleft Palate - therapy Dentistry Humans Insurance, Health - economics Insurance, Health - legislation & jurisprudence Orthodontics Orthodontics, Corrective - economics Orthodontics, Corrective - legislation & jurisprudence State Government United States |
| title | Primer on State Statutory Mandates of Third-Party Orthodontic Coverage for Cleft Palate and Craniofacial Care in the United States |
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