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Cleft Palate Diagnoses

Provider Type

  • Physicians
  • Hospitals
  • Participating Physician Groups (PPG)

Treatment for cleft lip/palate as covered under California Children’s Services (CCS). Cleft palate may also include, cleft lip or other craniofacial anomalies associated with cleft palate. Health Net covers medically necessary services that are an integral part of cleft palate reconstruction and are not approved by CCS. To the extent that Medi-Cal members who require medically necessary dental or orthodontic services are determined eligible for the California Children's Services (CCS) program, these services are provided by CCS.

Cleft palate reconstruction services require prior authorization.

Last Updated: 10/29/2024