Medicaid Redesign Team Change Effective
May 1, 2013
Date Issued: 5/1/2013
Lactation Counseling Payment
As of May 1, 2013, EmblemHealth provides reimbursement for lactation counseling (CPT codes S9445 and S9446) provided by an EmblemHealth-credentialed International Board Certified Lactation Consultant (IBCLC) who is a licensed or registered:
- Midwife (MW)
- Nurse Practitioner (NP)
- Physician Assistant (PA)
- Registered Nurse (RN)
Breastfeeding education and lactation counseling services billed with other appropriate CPT codes are also reimbursed in accordance with rates established in provider agreements. Out-of-state network practitioners are reimbursed at negotiated rates.
Practitioners who wish to be credentialed to provide lactation counseling services may call 1-866-447-9717, option 5.