Hello fellow Lactnetters. I have been given the task to research opportunities for part-time or full time funding for a county health department non-RN IBCLC.  The job description would be similar to a PHN's duties of newborn nursery and mother/baby visits to assess breastfeeding, offer referrals and subsequent follow-up with WIC. 

At this point in time, the health department has PHN's who make rounds of the hospital and are paid out of county funds because it is an existing position. The "new" position would require "revenue generating funding" due to the current employment environment of lay-offs and cut backs.  Confincing administration that increasing our low breastfeeding rates would save dollars if you look at the bigger picture and can certainly be a part of the "sales promotion", but when you are working with a bottom line of being in the fiscal red or black at the end of the year,  it is a hard sell. Of course the traditional method of a grant is an option, but there is a need for sustainability. 

Is there a method of billing that could be utilized through Medicaid/Medical that would cover the hospital visit/assessment if the IBCLC is contracted through the local health department, but makes rounds at the delivering hospital?  What mechanisms of billing can be persued?  Any suggestions or ideas?

Thank you.

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