Access MOM (Mother's Own Milk)
Verify Patient's Insurance
Open the form to send the patient's insurance to BFA's billing staff for verification. Do this before dispensing a pump.
Opens IntakeQ in a new tab
Before you dispense
BFA billing will confirm coverage before any pump goes out. This is the first of two submissions for each pump, so use the exact same patient name and phone number you will use again when you report the pump as dispensed.
Here are the steps in detail
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Open the form.
- Use the button above. The form opens in a new tab.
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First page of the form.
- Enter the Patient's Legal Full Name
- Enter the Patient's Phone Number
- Tap Continue
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Fill out each section.
- Provider contact information: Your Name, Your Facility, and Your Best Contact Method
- Provider contact, part II: Your Phone, Email, or Fax
- Purpose of the form: select Insurance Verification Request
- Upload or manual entry: choose Photo of facesheet then Select files to upload, or choose Manual Entry and type the insurance details
- Baby's information: Infant's Name, Infant's Sex, and Infant's DOB
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Submit.
- Tap Submit Form at the bottom.
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Wait for BFA billing.
- Billing will contact you with the verification results before you dispense the pump.
Questions about a verification? Call BFA billing at (404) 454-9715.
Our Goal
Access MOM (Mother's Own Milk) helps more newborns receive human milk, especially premature and low birth weight babies, by making sure families get the breast pump their Medicaid or insurance already covers, delivered soon after birth, when early and frequent milk expression matters most for establishing supply. The American Academy of Pediatrics identifies a mother's own milk as the optimal nutrition for very low birth weight infants and points to local breast pump access programs as a way to reduce inequities in who receives it. National experts likewise call for guaranteeing equal access to covered breastfeeding supplies and equipment, which is what this program puts into practice.
Informed by national pediatric and public health guidance: Parker MG, Stellwagen L, Miller ER, et al. Promoting Human Milk and Breastfeeding for the Very Low Birth Weight Infant: Clinical Report. Pediatrics. 2026;157(2):e2025073625. Meek JY, Noble L; Section on Breastfeeding. Breastfeeding and the Use of Human Milk. Pediatrics. 2022;150(1):e2022057988. National Academies of Sciences, Engineering, and Medicine. Breastfeeding in the United States: Strategies to Support Families and Achieve National Goals. Washington, DC: The National Academies Press; 2025.