RSA 126-A:100 · Medicaid Coverage of Lactation Services; Reimbursement Required

126-A:100 Medicaid Coverage of Lactation Services; Reimbursement Required. –
I. The department of health of health and human services shall cover lactation services for Medicaid recipients as a pregnancy-related service under New Hampshire's Medicaid program.
II. The department is authorized to use the following Medicaid coverage categories to reimburse lactation services:
(a) Inpatient hospital services, other than services in an institution for mental disease, per Social Security Act (SSA) section 1905(a)(1);
(b) Outpatient hospital services, per SSA section 1905(a)(2)(A) and 42 C.F.R. section 440.10;
(c) Early and periodic screening, diagnostic, and treatment services for individuals who are eligible under the plan and are under the age of 21, per SSA section 1905(a)(4)(B);
(d) Physicians' services furnished by a physician under the physician's supervision, whether furnished in the office, the patient's home, a hospital, or a nursing facility, or elsewhere, per SSA section 1905(a)(5)(A);
(e) Services furnished by a nurse-midwife, which the nurse-midwife is legally authorized to perform under State law, per SSA section 1905(a)(17);
(f) Freestanding birth center services, per SSA section 1905(a)(28); and
(g) Services furnished by nurse practitioners per 42 C.F.R. section 440.166 and other licensed practitioners per 42 C.F.R. section 440.60.
III. Reimbursable lactation services shall include:
(a) Breastfeeding education;
(b) Individual lactation consultation; and
(c) Equipment rentals.
Source. 2023, 79:415, eff. July 1, 2023.