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Subject:	Billing for Donor Human Milk
From:	"Nancy E. Wight MD, IBCLC, FABM, FAAP" <[log in to unmask]>
Reply To:	Lactation Information and Discussion <[log in to unmask]>
Date:	Thu, 24 Apr 2014 19:19:31 -0400
Content-Type:	text/plain
Parts/Attachments:	text/plain (24 lines)

We have been using donor milk for 14 years.  We bill, but usually  "eat" 
the cost, as MediCal  (CA Medicare) does not pay separately for  inpatient 
services - there is a per diem for each patient based on degree of  illness 
that is supposed to cover everything.  Private insurance usually  denies the 
charge - they classify it as food, which is part of the hospital  daily charge.
 
Texas Children's was able to get it paid for by going to the State and  
having PDHM classified as a medicine.  The FDA does not agree.
 
Nancy
Nancy E. Wight MDF, IBCLC, FABM,  FAAP
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