Idaho Admin. Code r. 16.02.26.102

Current through August 31, 2023
Section 16.02.26.102 - CLEFT LIP AND PALATE
01.Eligible Conditions. Eligible conditions include cleft lip, cleft palate, cleft palate with cleft lip, cleft nose, Pierre Robin syndrome, choanal atresia, palatal incompetence, severe malocclusions resulting from disease or trauma, severe structural deformities involving the growth, and development of the mandible or maxilla. (3-15-22)
02.Excluded Conditions. The following conditions are specifically excluded from care under the CSHP Cleft Lip/Palate Program: isolated hyper/hyponasality, non-cleft-related malocclusions, and mild familial malocclusions. (3-15-22)
03.Spending Limits. Services provided to eligible patients under the CSHP Cleft Lip and Palate program are subject to a per patient, annual spending limit of fifteen thousand dollars ($15,000) for each state fiscal year. (3-15-22)

Idaho Admin. Code r. 16.02.26.102