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Editorial standards
How we verify Medicaid doula billing rules
Every rule on DoulaPaid should point back to an official source, show when it was checked, and be corrected openly when something changes.
Last reviewed July 10, 2026.
Verification standards
State guides and billing tools must meet these source and review requirements.
Official sources first
Every billing rule, code, modifier, and rate on a state page is tied to an official payer or government source, such as a Medicaid billing guide, fee schedule, provider manual, or statute. Do not bill from blog posts or summaries alone.
Every source is dated and versioned
Each source document records its publisher, a version or revision note, and the date we last checked it, so you can see exactly which edition a rule came from.
Source change checks
If a primary source changes or moves, affected billing guidance is unavailable until a person verifies the new source.
Research is labeled, not guessed
When a state's codes and rates are unverified, its rates are not shown. We never present an unverified rate as billable.
Corrections are public
When we find or are told about an error, we fix it and log it openly in the corrections record rather than quietly editing the page.
No client data in public pages
DoulaPaid never asks for client names, Medicaid IDs, dates of birth, visit notes, claims, EOBs, screenshots, or private payer messages. Real claim work stays in the payer portal or another approved system.
Source review process
Each state rule completes these checks before use.
- 1.Collect the official payer sources for the state (billing guide, fee schedule, provider manual, statute).
- 2.Record each source with publisher, version, and the date checked.
- 3.Encode codes, modifiers, units, visit limits, and rates against those sources.
- 4.Compare every listed code, modifier, unit, visit limit, and rate with the linked official source.
- 5.Keep rates and claim tools unavailable until official values and billing steps are verified.
- 6.Monitor the sources for change and re-review when they move.
Verification limits
Unverified rates, payer rules, and payment promises are unavailable.
- DoulaPaid is not affiliated with Medicaid, a state Medicaid agency, HCA, DOH, OHA, or any payer.
- DoulaPaid does not promise reimbursement. Coverage and a clean claim check do not guarantee payment.
- DoulaPaid does not submit claims for users.
- Always confirm rules against the official state source before billing a real claim.
See the sources and corrections
Source dates and corrections are available.
Common questions
Where do DoulaPaid's Medicaid doula billing rules come from?
From official state Medicaid sources — agency billing guides, fee schedules, provider manuals, and statutes. Each state page links the exact sources it relies on, with the date each was last checked.
How often are the rules reviewed?
State pages show when their sources were last checked. If a primary source changes or moves, affected billing guidance is unavailable until a person verifies the new source.
What happens when a rule is wrong?
We correct it and record the change in the public corrections log, rather than editing the page silently.
Does a verified rule mean a claim will be paid?
No. Verified rules help you prepare a cleaner claim, but the payer still decides each claim based on eligibility, provider setup, visit notes, timing, and other factors.