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:
- 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.
- 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.
Academy of Lactation Policy & Practice
Association of Maternal & Child Health Programs
Black Mothers Breastfeeding Association
Centers for Disease Control & Prevention
Childbirth and Postpartum Professionals Association
Health Resources and Services Administration, Maternal and Child Health Bureau
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
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
Sustainable Financing Strategies for Community Prevention: Opportunities for Breastfeeding Support Under the ACA
Anne De Biasi, MHA
Director of Policy Development
Trust for America's Health
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.
- 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.
- Federal Register notice w/ CMS rule change re: non-licensed providers (1/2013)
- CMS letter re: FMAP increase for states covering preventive services (2/2013)
- CMS bulletin w/ updates including non-licensed provider rule change (11/2013)
- CMS issue brief re: coverage of lactation services (1/2012)
- CMS bulletin re: MCH policy (1/2012)