Just very recently our hosp started charging fees for lactation consults. The LCs have discussed w/ mgmt what would happen if a client could not afford to pay the fees. If we feel they really need an ibclc consult we would ask them what they could afford to pay and accept that. Don't think we can bill Medicaid (US financially needy "health insurance") but could try that with a doctor's order. If we feel they could be helped by an LLLL we would refer to them (we refer all our inpatients to LLL mother to mother support group). Also lots of our moms are enrolled in WIC, the US public health program, that includes bf assistance. We have a good rapport with the clinic and would refer there too. Laurie Wheeler, RN, MN, IBCLC Violet Louisiana, s.e. USA ______________________________________________________ Get Your Private, Free Email at http://www.hotmail.com *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html