Rates comparison

Compare Medicaid doula rates by state

District of Columbia has the highest per-client maximum in the current verified state records at $4,007.14, and Michigan has the highest listed per-visit or per-unit amount at $1,500. Compare all 24 state records without treating a listed rate as a payment promise.

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State AState B

Arizona

AHCCCS doula services

Payment model: Per visit
Max total: $911.56
Sources checked: 2026-07-12

Doula services (per 15 minutes), up to eight units per dayT1032 · $16.28 per 15-minute unitQuantityDoula services per diem (labor and delivery), once per 9-month periodT1033 · $781.32 per serviceQuantity

Scenario estimate

$0.00

Planning only. Payment still depends on payer review.

California

Medi-Cal doula services

Payment model: Per visit
Max total: $486.36
Sources checked: 2026-06-17

Extended initial visit, 90 minutesZ1032 XP · $197.98 per lineQuantityPrenatal or postpartum visit, up to eight visitsZ1034 XP · $162.11 per lineQuantitySupport during vaginal delivery59409 XP · $685.07 per lineQuantitySupport during vaginal delivery after previous caesarean section59612 XP · $768.69 per lineQuantitySupport during caesarean section59620 XP · $795.73 per lineQuantitySupport during or after miscarriageT1033 XP · $250.85 per lineQuantitySupport during or after abortion59840 XP · $250.85 per lineQuantityExtended postpartum support, up to 12 fifteen-minute units per visitT1032 XP · $40.53 per 15-minute unitQuantityAdditional postpartum visits with a second recommendation, up to nine visitsZ1038 XP · $162.11 per lineQuantity

Scenario estimate

$0.00

Planning only. Payment still depends on payer review.

Side-by-side rate table

States are sorted by maximum listed reimbursement per client, with pending rates below verified maximums.

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The CSV includes service-line codes, modifiers, units, rates, source URLs, and blank rate fields for pending verification states.

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State	Program	Rate model	Max per client	Per-visit rate	Visit limit
District of Columbia	DC Medicaid doula services	Per-visit	$4,007.14	$762.98	40 visits
Nevada	Nevada Medicaid doula services - Provider Type 90	Per-visit	$4,000	$900	8 visits
Michigan	Michigan Medicaid doula initiative	Per-visit	$3,900	$1,500	25 visits
Illinois	Illinois Medicaid doula services	Per-visit	$3,590	$720	55 visits
Washington	Apple Health birth doula services	Unit-based (15-min units)	$3,500	$25	80 units
Minnesota	Minnesota Medical Assistance doula services	Per-visit	$3,200	$1,400	19 visits
New York	New York Medicaid doula services	Per-visit	$2,849.96	$750	18 visits
Oklahoma	Oklahoma SoonerCare doula services	Per-visit	$2,758.41	$490.68	20 visits
Missouri	MO HealthNet doula services	Per-visit	$2,525	$800	120 visits
South Dakota	South Dakota Medicaid doula services	Per-visit	$2,399.97	$616.01	104 visits
Rhode Island	Rhode Island Medicaid doula services	Per-visit	$2,000	$900	4 visits
New Mexico	New Mexico Medicaid Turquoise Care doula services	Per-visit	$1,900	$1,500	17 visits
Oregon	Oregon Health Plan birth doula services	Global fee	$1,505	$215	2 prenatal + 2 postpartum
New Jersey	NJ FamilyCare doula services	Per-visit	$1,465.64	$500	25 visits
Connecticut	HUSKY Health certified doula services	Per-visit	$1,400	$800	7 visits
Pennsylvania	Pennsylvania Medical Assistance doula services	Per-visit	$1,350	$1,000	3 visits
Kansas	Kansas Medicaid (KanCare) doula services	Per-visit	$1,295	$500	54 visits
Utah	Utah Medicaid doula services	Per-visit	$1,205.16	$834.28	33 visits
Ohio	Ohio Medicaid doula services	Per-visit	$1,200	$600	49 visits
Virginia	Virginia Medicaid doula services	Per-visit	$1,009.86	$350	18 visits
Maryland	Maryland Medicaid doula services	Per-visit	$944.96	$800	9 visits
Arizona	AHCCCS doula services	Per-visit	$911.56	$781.32	9 visits
California	Medi-Cal doula services	Per-visit	$486.36	$795.73	12 visits
Louisiana	Louisiana Medicaid doula services	Per-visit	$459	$459	1 visits

Current rate comparison

Which state pays the most per client?

District of Columbia has the highest per-client maximum in the current verified state records at $4,007.14.

Which has the highest per-visit rate?

Michigan has the highest listed per-visit or per-unit amount at $1,500.

Which has generous visit limits?

Unit-based states can allow many billable units, while per-visit programs may cap sessions before authorization is needed.

Common questions

Which state pays Medicaid doulas the most?

Washington has one of the highest currently verified maximums at up to $3,500 per client.

Are global fees and per-visit rates directly comparable?

Not perfectly. A global fee bundles a set of services, while per-visit and unit-based models depend on documented visits, units, and limits.

Why do some states show unverified rates?

Unverified means the official rate source is unavailable or unresolved.

Do these rates guarantee payment?

No. Payment depends on eligibility, provider enrollment, visit notes, approval rules, payer edits, and current official guidance.

How often should doulas check rates?

Check official payer sources before submitting claims and whenever a state publishes new billing guidance or fee schedules.

Next steps

Read Medicaid doula ratesReview rate terms and state reimbursement rules.Open Choose a stateCheck Medicaid doula billing requirements by state.Open Search billing codesLook up public codes, modifiers, units, and rates.Open