The invention relates to a roof water control method based on presplitting and grouting modification. The roof water control method includes the following steps that first, the height of a water diversion fissure zone on the working surface is determined; second, fracturing and grouting are carried out before determining extraction of the working surface; third, fracturing horizon and grouting horizon are determined; fourth, the fracture and grouting plane range and thickness are determined; fifth, horizontal holes of a roof stratum are subjected to hydraulic fracturing, hydraulic fracturing is carried out on the rock stratum through horizontal branch holes of the construction ground, and an original continuous medium is fractured into a discontinuous medium; and sixth, roof stratum grouting is conducted, and the water-passing capacity of the rock stratum is greatly reduced. Thereby, the roof water control method fractures the rock stratum with good continuity into a discontinuity rockstratum, then a grouting technology is adopted to transform the rock stratum into a relatively weak waterproof protective layer to achieve the dual purposes of inhibiting upward development of the water diversion fissure zone and weakening the permeability of the rock stratum, and thus the water yield of aquifer underground water of a coal roof pouring into the coal face through the water diversion fissure zone is decreased.