Oklahoma Administrative Code
Title 317 - Oklahoma Health Care Authority
Chapter 30 - Medical Providers-Fee for Service
Subchapter 5 - Individual Providers and Specialties
Part 20 - LACTATION CONSULTANTS
Section 317:30-5-232 - Coverage
Current through Vol. 42, No. 1, September 16, 2024
Lactation Consultant services are covered for pregnant women and women up to twelve (12) months postpartum. SoonerCare members may self-refer or be referred by any provider. Reasons for lactation services include but are not limited to the following:
(1) Prenatal education/training for first-time mothers;
(2) Women who have not previously breastfed, have a history of breastfeeding difficulty, have identified risk factors for breastfeeding difficulty or lactation insufficiency (e.g., history of breast surgery, infertility, hormonal imbalance, diabetes, obesity);
(3) Women expecting an infant with risk factors for ineffective breastfeeding (e.g., preterm, multiples, congenital birth defects);
(4) Latch-on difficulties;
(5) Low milk supply;
(6) Breastfeeding a premature baby (thirty-six (36) weeks or less gestation);
(7) Breastfeeding multiples; and
(8) A baby with special needs (e.g., Down Syndrome, cleft lip/or palate).
Added at 25 Ok Reg 429, eff 12-1-07 through 7-14-08 (emergency)1; Added at 25 Ok Reg 2639, eff 7-25-08
1This emergency action expired before being superseded by a permanent action. Upon expiration of an emergency action enacting a new Section, the Section is no longer effective. Therefore, on 7-15-08 (after the 7-14-08 expiration of this emergency action), Section 317:30-5-232 was no longer effective, and remained as such until added again by permanent action on 7-25-08.
