MedicaidCoverageMedium impact
MSA 15-46
Michigan Medicaid - MDHHS·MI · OB-GYN, Family Medicine, Pediatrics·Provider Bulletin
Effective date
Apr 1, 2016
We identified it
Jun 20, 2026
Summary
Michigan Medicaid now covers lactation support services for postpartum women up to 60 days post-delivery, limited to 2 visits per pregnancy. Services must be provided by IBCLC-certified providers and billed using HCPCS code S9443.
Action Required
By April 1, 2016: Billing team must add HCPCS code S9443 for lactation services to billing system for Michigan Medicaid patients. Ensure documentation includes begin/end times and comprehensive intervention descriptions. Verify IBCLC provider credentials are on file. Maximum 2 visits per pregnancy, one per date of service, for postpartum women up to 60 days post-delivery only.