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Lactation partly verified · Colorado

Colorado Medicaid Lactation billing

Colorado publishes Health First Colorado lactation billing guidance and official S9443 modifier-combination rates for the listed in-person rows. Official sources confirm the listed billing rules.

Verified rows only.
Do not use unresolved settings for billing.
No client details collected.

Official source status

What is available

Billing details are verified for Colorado, DC, Illinois, Missouri, Nebraska, Ohio, Vermont, and Virginia. Other states do not have verified rates and billing requirements.

Status
partly verified
Source checked
CO/DC/IL/MO/NE/OH/VT/VA verified; other billing paths unverified
Last updated
2026-06-30

Official payer source

Health First Colorado Lactation Support Services Billing Manual

Publisher: Colorado Department of Health Care Policy and Financing. Source checked 2026-06-25.

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Requirements to verify

Billing requirements

Which Colorado lactation provider enrollment, credential, service, and billing requirements are needed before setting up billing?

Credential requirements

How should a billing tool handle the difference between lactation support, IBCLC affiliation, doula affiliation, and billing provider type?