Okla. Admin. Code § 317:30-5-232

Current through Vol. 41, No. 19, June 17, 2024

Section 317:30-5-232 - Coverage

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).

Okla. Admin. Code § 317:30-5-232

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

Amended by Oklahoma Register, Volume 40, Issue 14, April 3, 2023, eff. 2/21/2023 (emergency)

Amended by Oklahoma Register, Volume 40, Issue 24, September 1, 2023, eff. 9/11/2023

¹This emergency action expired before being superseded by a permanent action.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.