Lactation Billing Manual
Download the Manual (pdf)
Resources
50-State Scan of Medicaid Lactation Coverage
State Plan Amendments (SPAs)
Click on a highlighted state to read the SPA.
- Partners in This Work
- Lactation Billing Manual
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Kansas Perspective
State of Breastfeeding in Kansas, 2024
Disparities in breastfeeding rates in Kansas
National Medicaid Lactation Coverage Policy Research and State Examples
Footnotes:
[1] https://www.kff.org/medicaid/issue-brief/medicaid-postpartum-coverage-extension-tracker/
[2] https://www.kff.org/medicaid/issue-brief/5-key-facts-about-medicaid-and-pregnancy/
See the State Plan Amendments (SPAs) map below for details of each state.
Eligible Services
Womens Preventive Services Initiative 2025 Coding Guide
KMAP General Bulletin 18189 Updated – Lactation Counseling
- Additional Resources for Lactation Billing
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American Academy of Pediatrics: Federal Support for Breastfeeding
American Academy of Family Physicians – FPM Journal “Calculating Your Costs Per Visit”: Calculating Your Costs Per Visit | AAFP
American Journal of Public Health: Effect of the Affordable Care Act on Breastfeeding Outcomes
Blue Cross Blue Shield of Kansas: BCBS of KS Preventive Services Guide (breastfeeding on page 8)
Kaiser Family Foundation: Medicaid Coverage of Pregnancy-Related Services: Findings from a 2021 State Survey
Kansas Association for Local Health Departments (section 7.6): Resources – KALHD
Kansas Medical Assistance Program (KMAP):
Bulletin for Telehealth: 23042 – General – Lactation_Counseling_Allowable_Via_Telemedicine.pdf
Fee Schedule: KMAP Fee Schedule
Rural Health Clinic/Federally Qualified Health Center Fee for Service Manual: Calculating Your Costs Per Visit | AAFP
Search by Procedure (HCPCS Codes): HCPCS Code Search
Michigan Breastfeeding Network: Why Compensation Matters: Resources for Billing Codes, etc.
National Women’s Law Center: State of Breastfeeding Coverage: Health Plan Violations of the Affordable Care Act
USBC-Affiliated Lactation Support Provider Constellation: Lactation Support Provider Descriptor Chart
Women’s Preventive Services Initiative:
- Billing by Service Setting
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Federally Qualified Health Centers (FQHCs)
FQHC location map: Find a Clinic – Community Care Network of Kansas.
KMAP General Bulletin 18189 Updated – Lactation Counseling
KMAP Search By Procedure (HCPCS Codes)
18189 – General – UPDATED – Lactation_Counseling.pdf
23042 – General – Lactation_Counseling_Allowable_Via_Telemedicine.pdf
23208 – General – Rate_Increase_for_Lactation_Counseling_Code_S9443.pdf
Hospitals – Outpatient
Kansas Hospitals and Health Organizations
Preliminary Birth Report Kansas, 2023
Lactation Services | Children’s Mercy Kansas City
KMAP General Bulletin 18189 Updated – Lactation Counseling
Maternity Care: High 5 for Mom&Baby
Baby-Friendly USA: Upholding the Highest Standards of Infant Feeding Care
KMAP Search By Procedure (HCPCS Codes)
University of Kansas School of Nursing: Access to Obstetrical Care in Kansas, 2023
18189 General UPDATED Lactation Counseling
23042 General Lactation Counseling Allowable Via Telemedicine
23208 General Rate Increase for Lactation Counseling Code S9443
Local Health Department (LHD)
KMAP General Bulletin 18189 Updated – Lactation Counseling
KMAP Search By Procedure (HCPCS Codes)
18189 General UPDATED Lactation Counseling
23042 General Lactation Counseling Allowable Via Telemedicine
23208 General Rate Increase for Lactation Counseling Code S9443
Private Practice Providers
Defining the Primary Care Workforce in Kansas – Kansas Health Institute
Access to Obstetrical Care in Kansas
18189 General UPDATED Lactation Counseling
KMAP Search By Procedure (HCPCS Codes)
23042 General Lactation Counseling Allowable Via Telemedicine
23208 General Rate Increase for Lactation Counseling Code S9443
- Attachments
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Lactation Support Provider (LSP) Constellation
Credentials – Breastfeeding/Lactation Educator/Counselor
Credential Name Organization Hours of Education Available Online Breastfeeding Counselor (BC) Georgia Northwestern Technical College 12 college credits Breastfeeding Counselor (BFC) Childbirth International ? Yes Breastfeeding Educator Global Lactation Education Associates 45 Yes Certified Blactation Educator (BE) The B.L.A.C.K Course 45 or 50 Yes Certified Breastfeeding Counselor (CBC) International Breastfeeding Institute 40 Yes Certified Breastfeeding Educator (CBE) Lactation Literacy 48 Yes Certified Breastfeeding Specialist (CBS) Lactation Education Resources 54.5 Yes Certified Lactation Educator (CLE) Childbirth & Postpartum Professional Association 20 Yes Certified Lactation Specialist (CLS) Lactation Education Consultants 45 Yes Certified Lactation Educator Specialist (CLES) Breastfeed LA 45 Yes Certified Lactation Counselor (CLC) Healthy Children Project 95 Yes Clinical and Communication Lactation Specialist (CCLS) LactaLearning 95 No Community Breastfeeding Specialist Michigan Breastfeeding Network 45 Yes Indigenous Lactation Counselor (ILC) Indigenous Lactation Counselor 45 No Lactation Education Counselor (LEC) UC San Diego Extension 95 Yes Lactation Educator (LE) in-person only Bastyr University 45 No Lactation Counselor & Educator (LCE) LactaLearning 45 or 50 No Military Lactation Counselor (MiLC) Global Military Lactation Community 66.5 Hybrid The list above is provided for general informational and educational purposes only and does not constitute professional advice. The Kansas Breastfeeding Coalition Lactation Billing Cohort assumes no responsibility for errors or omissions in the content or for any actions taken based on the information provided