The Department of Medical Assistance Services (DMAS) will begin covering Lactation counseling services and breast pumps for women enrolled in fee-for-service Medicaid/FAMIS/FAMIS MOMS. This change will align the coverage of lactation services for the fee-for-service and managed care populations.
Breast pump requests will require service authorization under Durable Medical Equipment (DME) through KEPRO, the DMAS Service Authorization Contractor. Durable Medical Equipment (DME) providers must submit medical justification when requesting breast pumps and/or additional Collection Kits. Please refer to the Medicaid memo dated 12/01/2015 for specific procedure codes, rates, and submission requirements.