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Lactation Support Providers (LSP) Constellation

Steward: United States Breastfeeding Committee (Amelia Psmythe)

The first of the USBC-affiliated Constellations, this group was first convened in June 2014 for an in-person meeting, with funding support for the Centers of Disease Control & Prevention. At this meeting the participants agreed on the Declaration of Intent and Priority Strategies listed below.

Declaration of Intent:

"Whereas all mothers & babies have a right to access to trained lactation support to reach their goals;

Whereas all lactation support providers bring value to the landscape of care;

Therefore we agree to work collaboratively to influence opportunities for change to increase access to lactation support."

Constellation Priority Strategies:

  1. Expand training and mentoring opportunities, particularly to increase the number of racial/ethnic minority care providers
    • Create a public directory of lactation trainings to increase visibility and understanding of all types of trained providers.
    • Increase access to mentoring opportunities, particularly for individuals of color, to enter into and grow within the lactation field, recognizing that mentoring can take multiple forms.
  2. Incorporate breastfeeding support into existing public health programs
  3. Expand the network of providers allowed to provide lactation care under Medicaid
    • Partner with coalitions to identify and support implementation of state mechanisms to expand access to breastfeeding support through Medicaid, and to expand the network of providers allowed to provide lactation care in each state.
    • Expand implementation of innovative models that cross the continuum of lactation support providers, e.g., teams of providers working together using “incident to” billing.

Baseline strategy: Maximize access to breastfeeding support through the Women’s & Children’s Preventive Services definitions and guidance.

Constellation Participants:

    Academy of Lactation Policy & Practice
    Association of Maternal & Child Health Programs
    Black Mothers Breastfeeding Association
    Breastfeeding USA
    Carolina Global Breastfeeding Institute
    Centers for Disease Control & Prevention
    Childbirth and Postpartum Professionals Association
    Health Resources and Services Administration, Maternal and Child Health Bureau
    HealthConnect One
    Healthy Children Project
    International Board of Lactation Consultant Examiners
    La Leche League USA
    Lactation Consultant Services
    Lactation Education Accreditation & Approval Review Committee
    Lactation Education Consultants
    Lactation Education Resources
    Mom2Mom Global
    National Association of County & City Health Officials
    National Association of Peer & Professional Lactation Supporters of Color
    National WIC Association
    Reaching Our Sisters Everywhere
    United States Lactation Consultant Association
    USDA, Food and Nutrition Service

    Webinar Files: Sustainable Financing Strategies for Community Prevention (4/24/2015)
    Topic: LSP Constellation - Public Library
    Owner: USBC Headquarters
    Date: 2015-04-28

    Sustainable Financing Strategies for Community Prevention: Opportunities for Breastfeeding Support Under the ACA

    Presented by:

    Anne De Biasi, MHA
    Director of Policy Development
    Trust for America's Health

    Video Recording

    This webinar focused on developing sustainable financing streams for prevention, including breastfeeding. Participants learned about various strategies for financing community-based prevention in Medicaid, including the recent Preventive Services rule change that allows reimbursement for non-licensed health workers who provide a preventive service upon referral from a licensed Medicaid provider. Additional tools such as 1115 waivers and health homes were also covered.

    There are new opportunities to build prevention and public health into the reforming health care system. This topic is timely since recent regulatory changes offer new opportunities to finance community prevention in public programs such as Medicaid. Also, existing tools are being used in new ways to build sustainable funding streams for public health, such as 1115 waivers. Given changes in federal funding for prevention, prevention programs may need to broaden their partnerships and blend and braid various streams to ensure sustainability.

    Learning Objectives:

    • Learn various opportunities for financing community prevention through Medicaid;
    • Review a new opportunity to reimburse non-licensed prevention providers in Medicaid, including the implementation process and requirements; and
    • Explore additional options in Medicaid that can be leveraged to finance prevention services.

    Key Links:

    Download File   TFAH-slides-2015-04-24-Sust-Financing-Strategies.pdf
    Download File   Medicaid & Community Prevention Final Revised 5.15.14.pdf
    Download File   Q&A re Medicaid Rule Change 9.22.14.pdf