Letter of Medical Necessity

A Letter of Medical Necessity (LMN) documents the clinical rationale for breast milk freeze-drying services as part of an exclusive human milk fortification strategy. This letter may be useful when submitting coverage requests to insurance providers or HSA/FSA administrators.

The template provided includes relevant ICD-10 codes, clinical rationale, evidence citations, and space for the prescribing provider to document the specific clinical circumstances of their patient.

Download the Template

The Letter of Medical Necessity template includes Milkify Medical letterhead and is available as a DOCX file that providers can customize for their patient's specific clinical circumstances.

Download DOCX Template

Example Indications

The template covers caloric fortification of breast milk for patients with one or more of the following diagnoses:

Prematurity / low birth weight
Failure to thrive / poor weight gain
Short bowel syndrome
Necrotizing enterocolitis (NEC) or history of NEC
Cow milk protein allergy / intolerance
Multiple food protein intolerance / FPIES
Gastroesophageal reflux disease (GERD) with feeding intolerance
Congenital heart disease with increased caloric needs
Chronic lung disease / bronchopulmonary dysplasia (BPD)
Post-surgical GI conditions requiring nutritional rehabilitation

Encouraged Enclosures

When submitting the Letter of Medical Necessity, the following supporting documents are encouraged:

Relevant clinical notes
Growth charts
Feeding logs
Failed formula/fortifier trial documentation
Lab results
Prescription

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