A fully covered standard breast pump can be ordered and purchased through Rocky Mountain Medical Equipment (RMME), without prior authorization. The commercial product breast pump allowance is $150 per pregnancy and will cover standard model Medela Pump In Style Advanced Starter Set (Item # 101035077). If you select a breast pump with a higher value than the allowance, then you will pay the price difference directly to the vendor.

To get a breast pump: 
•    You must be at or beyond 28 weeks of pregnancy
•    Your doctor must submit a breast pump order directly to vendor
      The order can be faxed to RMME at 303-806-8030, electronic orders emailed to orders@rockymtnmedical.com
•    You can pick up your breast pump at Rocky Mountain Medical Equipment or have it shipped directly to you
•    Rocky Mountain Medical Equipment will bill DHMP directly

Breast pumps are a covered benefit for all Colorado Medicaid enrollees. Both manual and double-electric breastfeeding pumps are now covered as early as 28 weeks into pregnancy or at any time during the postpartum period.

A prior authorization is NOT REQUIRED when:
•    Ordered through the following Preferred Vendors
         Shield Healthcare (Phone: 866-304-7160, Fax: 469-443-9701)
         Byram Healthcare (Phone: 800-873-8385, Fax: 303-935-0718)
         Edgepark Medical Supplies (Phone: 888-394-5375, Fax: 303-405-6842)
•    Breast pump is under $500 
•    Purchased (NU) modifier

A prior authorization IS REQUIRED when:
•    Vendor is not a Preferred Vendor
•    Breast pump is over $500
•    Rented (RR) modifier

To get a breast pump:
•    You must be at or beyond 28 weeks of pregnancy or at any time during the postpartum period
•    Your doctor must submit an order for the breast pump directly to vendor
 

Breast pumps are a covered benefit for all Colorado CHP+ enrollees. Both manual and double-electric breastfeeding pumps are now covered as early as 28 weeks into pregnancy or at any time during the postpartum period.

A prior authorization IS REQUIRED for:
•    All requests, as CHP+ currently has no Preferred Vendors
•    Breast pumps over $500
•    Rented (RR) modifier

To get a breast pump:
•    You must be at or beyond 28 weeks of pregnancy or at any time during the postpartum period
•    Your doctor must submit an order for the breast pump directly to vendor
 

Breast pumps are a covered benefit for all Medicare enrollees. Both manual and double-electric breastfeeding pumps are now covered as early as 28 weeks into pregnancy or at any time during the postpartum period.

A prior authorization is NOT REQUIRED when:
•    Ordered through the following Preferred Vendors
         Shield Healthcare (Phone: 866-304-7160,  Fax: 469-443-9701)
         Edgepark Medical Supplies (Phone: 888-394-5375, Fax: 303-405-6842)
•    Breast pump is under $500
•    Purchased (NU) modifier

A prior authorization IS REQUIRED when:
•    Vendor is not a Preferred Vendor
•    Breast pump is over $500
•    Rented (RR) modifier

To get a breast pump:
•    You must be at or beyond 28 weeks of Pregnancy or at any time during the postpartum period
•    Your doctor must submit an order for the breast pump directly to vendor