FROM: Sturgess, Frances Coulter
TO:[log in to unmask]
   [log in to unmask]
SUBJECT: Good news! MediCal Bible refs brfdg svcs
DATE: 01-29-98   18:47 EST
PRIORITY: 

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That cryptic subject title means that the MediCal
 provider manual update for January is out and
 SPECIFICALLY DEFINES AND INCLUDES BENEFITS FOR 
BREASTFEEDING WOMEN under *reimbursable nutrition
 counseling services*!!!!! 
"Nutritional counseling services related to breast 
feeding are Medi-Cal benefits.  These services may 
be rendered by a physician, a registered nurse, 
or a registered dietitian working under the 
supervision of a physician,  Registered Dietitiansd
working under the supervision of a physician must bill 
these services as physician services.  Providers should 
bill these services with the CPT-4 Evaluation and 
Management code that most accurately reflects the
 level of service provided.

Reimbursable nutrition services that support breast feeding
 include,*but are NOT limited to*
Persistent discomfort to the woman while breastfeeding, 
Infant weight gain concerns, Milk extraction, 
suck dysfunctions of the infant"

No, it doesn't say "lactation consultant" and no, they
don't pay much (this is the government sponsored health
insurance/reimbursment for care for low-income folks) 
but its a start.  Hurrah to everyone who worked to get
it this far!!!