CSHCN 2009 > Provider Enrollment and Responsibilities > Provider Enrollment

2.1.6 Cleft/Craniofacial (C/C) Specialty Teams

Providers enrolled in the CSHCN Services Program who perform cleft/craniofacial procedures must also be members of a designated C/C specialty team. Providers enrolling as a member of a specialty team must provide additional information with their application.

Refer to: Section 22.1.2, "Specialty Team or Center".

Note: Anesthesiologists and assistant surgeons are not required to be a member of a C/C specialty team. However, when a procedure is denied by the CSHCN Services Program because the primary surgeon is not a specialty team member, assistant surgeon claims are also denied. An anesthesiologist may be paid if the claim is resubmitted on appeal and all filing deadlines are met.