MedicaidCoverageMedium impact
Outpatient Lactation Support Provider- In Lieu of Services (ILOS) - MEDICAID - LOUISIANA (New)
Humana·LA · OB-GYN, Pediatrics, Family Medicine·Medicaid
Effective date
Jan 24, 2025
We identified it
Jun 24, 2026
Summary
Humana Louisiana Medicaid now covers outpatient lactation support services as an In Lieu of Service (ILOS) for pregnant and postnatal members. Coverage includes up to 6 individual or group education sessions within 24 months postpartum, with no referral required and no site of service restrictions.
Action Required
By January 24, 2025: Billing team must update systems to accept lactation support service claims for Humana Louisiana Medicaid members. Ensure lactation support providers submit proof of certification (IBCLC, ALC, ANLC, CLC, CBS, CLE, or Breast Feeding Peer Counselor) with claims. Update encounter forms to note no referral required and 6-session limit within 24 months postpartum. Group sessions limited to 8 participants maximum.