Is Medicaid require to pay for breast pumps like regular insurance? - Mothering Forums

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Old 09-09-2013, 03:49 PM - Thread Starter
thefreckledmama's Avatar
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My friend is on Medicaid in AZ. She called them about getting a breast pump and they told her they don't pay for one, and she should call WIC. She called WIC and they won't give her one until she's been breast feeding at least 2 months.

I thought all insurance was required to pay for a breast pump, Medicaid included.

Does anyone have any insight or links to information on this?

jamie. crinkly (not quite crunchy) mama to 3 amazing little girls, an awesome little boy, and a baby girl making her debut at the end of this summer.

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Old 09-10-2013, 12:31 AM
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 If you're an Oregon Health Plan member, Oregon's coordinated care organizations, which provide health services to most of the state's Medicaid patients, must give out breast pumps under certain conditions, Oregon Health Authority spokeswoman Robbins said in an email. Those conditions include having a breast infection or abscess, having a premature baby or having a baby who cannot suck adequately. Coordinated care organizations (CCOs) can choose to provide pumps in other situations as well.


This touches on changes in Oregon. I think the bottom line is that Medicaid does not have to provide a pump unless there is a medical reason for one, though the managed care organizations may choose to do so.

Midwife (CPM, LDM) and homeschooling mama to:
14yo ds   11yo dd  9yo ds and 7yo ds and 2yo ds  
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