Kentucky Revised Statutes Title XVII. Economic Security and Public Welfare § 205.556.Coverage for lactation consultation, breastfeeding equipment, in-home programs for pregnant and postpartum women, and telehealth or digital health services related to maternity care

(a) “Breast pump kit” means a collection of tubing, valves, flanges, bottles, and other parts required to extract human milk using a breast pump;

(b) “In-home program” means a program offered by a health care facility or health care professional for the treatment of substance use disorder which the insured accesses through telehealth or digital health service;

(c) “Lactation consultation” means the clinical application of scientific principles and a multidisciplinary body of evidence for evaluation, problem identification, treatment, education, and consultation to families regarding the course of lactation and feeding by a qualified clinical lactation care practitioner, including but not be limited to:

(d) “Qualified clinical lactation care practitioner” means a licensed health care practitioner wherein lactation consultation is within their legal scope of practice; and

(e) “Telehealth” or “digital health” has the same meaning as in KRS 211.332.

(a) For lactation consultation;

(b) For breastfeeding equipment;

(c) To pregnant and postpartum women for an in-home program; and

(d) For telehealth or digital health services that are related to maternity care associated with pregnancy, childbirth, and postpartum care.

(a) Not be subject to:

(b) Be provided in conjunction with each birth for the duration of breastfeeding, as defined by the beneficiary;

(c) For lactation consultation, include:

(d) For breastfeeding equipment, include:

(4)(a) The breastfeeding equipment described in subsection (3)(d) of this section shall be furnished within forty-eight (48) hours of notification of need, if requested after the birth of the child, or by the later of two (2) weeks before the beneficiary's expected due date or seventy-two (72) hours after notification of need, if requested prior to the birth of the child.

(b) If the department cannot ensure delivery of breastfeeding equipment in accordance with paragraph (a) of this subsection, an individual may purchase equipment and the department or a managed care organization with whom the department contracts for the delivery of Medicaid services shall reimburse the individual for all out-of-pocket expenses incurred by the individual, including any balance billing amounts.