Editorial standards
How we verify Medicaid doula billing rules
Doula Medicaid billing is money-and-health information, so every rule on DoulaPaid is tied to an official source, dated, monitored for change, and corrected in public.
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Doula Medicaid billing is money-and-health information, so every rule on DoulaPaid is tied to an official source, dated, monitored for change, and corrected in public.
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Last reviewed June 15, 2026.
Our principles
The standards every DoulaPaid state page and billing tool is held to.
Official sources first
Every billing rule, code, modifier, and rate on a state page is tied to an official payer or government source — the state Medicaid agency billing guide, fee schedule, provider manual, or statute. Blog posts and summaries are never the source of truth.
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.
Drift monitoring
Published source documents are monitored for change. When a primary source is updated or moves, the affected rule is flagged for human review before anything downstream is trusted again.
Research is labeled, not guessed
When a state's codes and rates are not yet verified, the state is shown as in research and its rates are withheld. We never present an unverified rate as claimable.
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 tools
The free public tools never ask for client names, Medicaid IDs, dates of birth, or visit notes. Real claim work stays behind sign-in.
How a state rule gets published
The same source-backed path runs for every state, in order.
- 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.Check every encoded value back to the source with verification facts before publishing.
- 5.Publish the state as in research first; only mark it claim-ready after the values and the in-app workflow are both verified.
- 6.Monitor the sources for change and re-review when they move.
What we do not do
Boundaries that keep the guidance honest.
- 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 packet do not guarantee payment.
- DoulaPaid does not currently submit claims for users.
- Always confirm rules against the official state source before billing a real claim.
See the sources and corrections
The verification trail is public.
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?
Source documents are monitored for change, and state pages carry the date their sources were last checked. When a primary source is updated or moves, the affected rule is flagged for human review before it is trusted again.
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 clean, source-backed packet, but the payer still decides each claim based on eligibility, provider setup, documentation, timing, and other factors.