Lactation Support Services are Now a Covered Benefit
The Department of Health Care Policy & Financing (HCPF) is implementing a new Colorado law, House Bill HB22-1289, known as “Cover All Coloradans.”
Starting December 1, 2024, Health First Colorado and Child Health Plan Plus (CHP+) members will have access to expanded lactation services as part of Cover All Coloradans.
Starting December 1, 2024, International Board Certified Lactation Consultants (IBCLCs), Certified Lactation Counselors (CLCs), and Certified Lactation Educators (CLEs) can enroll as Health First Colorado providers to provide lactation support services to members.
We are working to establish a robust network of providers. Please utilize the resources below to enroll as a Health First Colorado International Board Certified Lactation Consultant (IBCLC), Certified Lactation Counselor (CLC), or Certified Lactation Educator (CLE).
This page will continue to be updated with the most current information. If you cannot find the information you are looking for, please contact the Reproductive Health team at hcpf_maternalchildhealth@state.co.us.
What are Lactation Support Services?
Lactation support services include education, counseling, and assistance for common breastfeeding issues, along with skilled, evidence-based care for more complex lactation issues.
Lactation support can be in-person or via telehealth in a 1-on-1 or group setting before childbirth and after delivery.
Who is Eligible for Lactation Support Services?
Pregnant people, postpartum people, and children who are breastfeeding are eligible for lactation support services.
Refer to the Lactation Support Services Billing Manual for complete details.
How do I Become an Enrolled Lactation Provider?
Please refer to the Lactation Provider Enrollment Quick Guide for detailed enrollment steps.
Click on the Provider Enrollment Portal to be guided to the Health First Colorado Lactation Consultant, Lactation Counselor/Educator, or Lactation/Doula Professional Group application. Provider enrollment forms can be found on the Provider Forms web page under the “Provider Enrollment & Update Forms” heading.
Provider enrollment and billing details can be found in the Lactation Support Services billing manual, available in the CMS 1500 section on the Billing Manuals web page.
Provider Training Materials and Resources
Sign up for training sessions focused on Health First Colorado provider enrollment and billing. All sessions will be held via Zoom webinar. You can find the registration links in the calendar on the Provider Training web page. All training materials can be found below the calendar.
Visit the Provider Resources web page for quick guides, help with the Provider Web Portal, frequently asked questions, and more.
Frequently Asked Questions
Breast Pump Coverage
Both manual and electric breast pumps are covered. Please refer to the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) billing manual for details on breast pump coverage.
Communication Resources
Communication resources to raise awareness about the lactation support services benefit are listed below:
Lactation Provider Flyer: English I Spanish
Additional Resources
Announcements/Upcoming Meetings
Stay alert for announcements and upcoming meetings.
Meeting Archives
- Lactation Stakeholder Meeting - May 29, 2024
- Lactation Stakeholder Meeting - February 27, 2024
- Lactation Stakeholder Meeting - January 30, 2024
Stay Informed
If you want to be added to the email list for lactation updates, please sign up for the Reproductive Health Newsletter. Updates regarding the Lactation Support Services benefit will be provided as needed.
Contact Information
Questions about policy and coverage may be directed to hcpf_maternalchildhealth@state.co.us.
Questions about claims and billing must be directed to the fiscal agent, Gainwell Technologies. Visit the Provider Contacts web page for a list of resources.