{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T21:46:12Z","timestamp":1793051172211,"version":"4.5.0"},"reference-count":10,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T00:00:00Z","timestamp":1648598400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>California Senate Bill 630 (SB630) enacted statutorily mandated health plan coverage for orthodontic care of patients with cleft palate and craniofacial anomalies in 2009, which was effective from July 1, 2010. In this qualitative analysis, third-party compliance with SB630 in a university-based cleft and craniofacial orthodontic program is evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Privately insured patients that experienced a coverage delay or denial of orthodontic treatment for cleft lip and palate in the University of California, San Francisco Cleft and Craniofacial Orthodontic Program between July 1, 2010 and October 28, 2020 were identified. A thematic analysis of reasons for delay or denial was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nearly three quarters of patients experienced coverage delay and\/or denials. The most common reason given was that services were not covered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite state-mandated coverage, inappropriate denials of orthodontic care for patients with cleft lip and palate by private insurers persist in California.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656221074523","type":"journal-article","created":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T01:30:13Z","timestamp":1648690213000},"page":"780-783","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Third-party Compliance With State-Mandated Orthodontic Coverage for Cleft Palate and Craniofacial Care in California: An Insurance Claim Thematic Analysis"],"prefix":"10.1177","volume":"60","author":[{"given":"Ronnel","family":"Azizollahi","sequence":"first","affiliation":[{"name":"University of California, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Hubacek","sequence":"additional","affiliation":[{"name":"University of California, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1894-3624","authenticated-orcid":false,"given":"Snehlata","family":"Oberoi","sequence":"additional","affiliation":[{"name":"University of California, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristin","family":"Kearns","sequence":"additional","affiliation":[{"name":"University of California, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,3,30]]},"reference":[{"key":"bibr1-10556656221074523","doi-asserted-by":"publisher","DOI":"10.1177\/1055665617739564"},{"key":"bibr2-10556656221074523","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e3181b2d6e3"},{"key":"bibr3-10556656221074523","doi-asserted-by":"publisher","DOI":"10.1597\/06-053.1"},{"key":"bibr4-10556656221074523","doi-asserted-by":"publisher","DOI":"10.1177\/1055665620913024"},{"key":"bibr5-10556656221074523","doi-asserted-by":"publisher","DOI":"10.1177\/1055665617736765"},{"key":"bibr6-10556656221074523","doi-asserted-by":"publisher","DOI":"10.1177\/1055665618765776"},{"key":"bibr7-10556656221074523","unstructured":"California Senate, Health care coverage: cleft palate reconstructive surgery: dental and orthodontic services, SB 630 (2009\u20132010), Chapter 604 (Cal. Stat. 2009) Available at: https:\/\/leginfo.legislature.ca.gov\/faces\/billNavClient.xhtml?bill_id=200920100SB630. Accessed August 13, 2021."},{"key":"bibr8-10556656221074523","unstructured":"California Association of Orthodontists, Insurance filing protocol for orthodontic coverage for children with CLP through SB630, 2017. Available at: https:\/\/www.caortho.org\/blog\/insurance-filing-protocol-for-orthodontic-coverage-for-children-with-clp-through-sb630. Accessed August 13, 2021."},{"key":"bibr9-10556656221074523","doi-asserted-by":"publisher","DOI":"10.1177\/1055665620910529"},{"key":"bibr10-10556656221074523","unstructured":"California Department of Managed Health Care, Health Plan Compliance\/Medical Survey, 2021. Available at: https:\/\/www.dmhc.ca.gov\/licensingreporting\/healthplancompliancemedicalsurvey.aspx. Accessed August, 13, 2021."}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656221074523","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10556656221074523","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656221074523","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:21:46Z","timestamp":1777393306000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10556656221074523"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,30]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1177\/10556656221074523"],"URL":"https:\/\/doi.org\/10.1177\/10556656221074523","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,30]]}}}