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CO HCPF Lactation Support Services Billing Manual — Lactation Support Specialist Billing Manual Revision Log

LactationSupportSpecialistBillingManualRevisionLog

activein force · 2026-07-26 – presentas-observed

RevisionDate

Addition/Changes

Madeby

11/12/2024

CreationofManual

HCPF

02/03/2025

AddedinformationforLactationSupportServicesprovidedbyadually-qualifiedDoula;addedfeescheduleinformation;updatedbillinginformationfortwins(multipleinfants);addedinformationfordeterminingwhattimecountstowards15-minutetimecodes;addedinformationaboutNationalCorrectCodingInitiative(NCCI);updatedOPRpolicyinformation.

HCPF

04/30/2025

UpdatedbillinginformationforLactationSupportServices.UpdatedCMS1500LactationSupportServicesclaimexample.

HCPF

05/20/2025

AddedSupplyPT14toeligiblebillingproviders;updateddiagnosiscodeinformation;updatedbillingguidanceforsubmittingclaimsunderlactatingmemberorbreastfeedingchild;addedinformationforoutpatienthospital;addedUB-04paperclaimreferencetable;addedUB-04LactationSupportServicesexample.

HCPF

07/16/2025

UpdatedtheOrdering,Prescribing,andReferring(OPR)providertypeswhomayrecommendLactationSupportServices.

HCPF

08/21/2025

AddedThird-PartyLiability(TPL)information.

HCPF

10/15/2025

UpdatedLactation-DoulaCross-Billingguidance.

HCPF

01/27/2026

Updatedeligiblerenderingandindividualbillingproviders.Updatedpolicyguidanceforenrolledindividualproviderswithtraininginadvancedlactationsupport.

HCPF

04/14/2026

Revisedclaimsubmissionguidancetoclarifysupervisionrequirementsandrequiredfields.

HCPF

07/17/2026

AddedProgramIntegrityandCompliance

HCPF

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Provenance

Source
hcpf.colorado.gov
Retrieved
2026-07-26
Edition
2026-07-26
Content hash
c9044a7de585d2f3d0ea27a0936396ff6b5c049929771c6750f2003cf1459fd7
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CO HCPF Lactation Support Services Billing Manual — Lactation Support Specialist Billing Manual Revision Log · binding.law