{"name":"DoulaPaid State of Medicaid Doula Billing Operations report","version":"2026","dataMode":"aggregate","updatedAt":"2026-07-28T02:51:17.775Z","dateReleased":"2026-07-02","reviewedThrough":"2026-07-02","license":"https://creativecommons.org/licenses/by/4.0/","requiredAttribution":"DoulaPaid, \"State of Medicaid Doula Billing Operations (2026 Edition),\" https://doulapaid.com/state-of-medicaid-doula-billing-operations-2026","canonicalReport":"https://doulapaid.com/state-of-medicaid-doula-billing-operations-2026","distributions":{"csv":"https://doulapaid.com/medicaid-doula-billing-operations-2026.csv","json":"https://doulapaid.com/medicaid-doula-billing-operations-2026.json"},"methodology":"Public aggregate operations report using state billing status, public listing totals, reviewed source-change counts, provider-readiness categories, and Review Desk service totals. Counts from 1–10 are suppressed.","methodologyNotes":["Rows are state-level or state/package/source-status aggregates only.","Directory coverage is based on public listing source/status aggregates and claimed-listing aggregates.","Provider readiness uses broad completion categories and excludes individual step history.","Official-source changes are reported only as state totals.","Review Desk demand includes completed live paid orders with positive retained cash. Fully refunded orders are excluded; partially refunded orders remain only while retained cash is positive. Results are reported by service and state, and counts from 1–10 are suppressed.","Counts from 1-10 are suppressed, with complementary suppression when needed.","No organization, user, contact route, raw search text, source-change details, private intake text, document, screenshot, claim file, or exact event timestamp is included."],"variables":[{"name":"state_code","description":"US jurisdiction postal abbreviation."},{"name":"operations_row_type","description":"Aggregate lane for the row: state_summary, directory_listing, or review_desk_package."},{"name":"billing_guide_status","description":"DoulaPaid state billing-guide status."},{"name":"public_roster_availability","description":"Whether public directory/listing source rows are observed for the state."},{"name":"directory_listing_count","description":"Suppressed aggregate count of non-archived public listings."},{"name":"directory_listing_source_status","description":"Listing source and status group used for the aggregate row."},{"name":"claimed_listing_count","description":"Suppressed aggregate count of listings claimed through DoulaPaid profile infrastructure."},{"name":"provider_readiness_completion_category","description":"Coarse average completion category from readiness trackers that exclude patient and claim details."},{"name":"payer_lane_complexity_category","description":"Fee-for-service and managed-care category based on official coverage sources."},{"name":"monitored_source_change_count","description":"Suppressed aggregate count of public source-monitoring change events."},{"name":"review_desk_service","description":"Review Desk service, blank when no service group was recorded."},{"name":"review_desk_order_count","description":"Suppressed aggregate count of Review Desk orders by service and state."},{"name":"suppression_note","description":"Small-cell suppression note for any row with hidden counts."}],"sourceContext":[{"label":"National Health Law Program Doula Medicaid 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