Rates by state
Medicaid doula rates by state
Medicaid doula rates are different by state. Use this page as a starting point, then open the state calculator and source links before preparing a claim.
Start here
Short answer
Medicaid doula rates are different by state. Use this page as a starting point, then open the state calculator and source links before preparing a claim.
Next step
Rate starting points
Open the state calculator before using a rate for real billing work.
Arizona
Rates start at $15.26 for doula services (per 15 minutes), up to eight units per day.
Arizona Medicaid doula billing uses per-visit rates starting at $15.26.
California
Rates start at $197.98 for extended initial visit, 90 minutes.
California Medicaid doula billing uses per-visit rates starting at $197.98.
Colorado
Rates start at $25 for prenatal doula services (per 15 minutes).
Colorado Medicaid doula billing uses per-visit rates starting at $25.
Connecticut
Rates start at $100 for antepartum or postpartum doula visit.
Connecticut Medicaid doula billing uses per-visit rates starting at $100.
District of Columbia
Rates start at $107.89 for perinatal doula support visit.
District of Columbia Medicaid doula billing uses per-visit rates starting at $107.89.
Illinois
Rates start at $720 for labor and delivery support - vaginal.
Illinois Medicaid doula billing uses per-visit rates starting at $720.
Louisiana
Rates start at $35.41 for pre/postnatal nurse advocacy visit, as medically necessary.
Louisiana Medicaid doula billing uses per-visit rates starting at $35.41.
Maryland
Rates start at $16.62 for prenatal doula visit, up to four 15-minute units.
Maryland Medicaid doula billing uses per-visit rates starting at $16.62.
Massachusetts
Rates start at $100 for perinatal visit up to 60 minutes.
Massachusetts Medicaid doula billing uses per-visit rates starting at $100.
Michigan
Rates start at $100 for prenatal or postpartum doula visit, 12 total visits before prior authorization.
Michigan Medicaid doula billing uses per-visit rates starting at $100.
Minnesota
Rates start at $100 for prenatal, postpartum, or non-labor doula session.
Minnesota Medicaid doula billing uses per-visit rates starting at $100.
Missouri
Rates start at $75 for prenatal support session, 60 minutes or more.
Missouri Medicaid doula billing uses per-visit rates starting at $75.
Nevada
Rates start at $100 for patient education, individual, per session.
Nevada Medicaid doula billing uses per-visit rates starting at $100.
New Jersey
Rates start at $16.62 for initial prenatal doula visit, up to six 15-minute units.
New Jersey Medicaid doula billing uses per-visit rates starting at $16.62.
New Mexico
Rates are still being checked against payer sources.
New Mexico Medicaid doula billing is in payer-source verification. Claim-ready packets are blocked until rates and codes are verified.
New York
Rates start at $93.75 for new york city perinatal support visit, minimum 30 minutes.
New York Medicaid doula billing uses per-visit rates starting at $93.75.
Oregon
$1,505 global package when state requirements are met.
Oregon Medicaid doula billing uses a $1,505 global fee model.
Pennsylvania
Rates start at $100 for prenatal visit (minimum 30 minutes).
Pennsylvania Medicaid doula billing uses per-visit rates starting at $100.
Rhode Island
Rates start at $100 for prenatal doula visit, 60-minute minimum.
Rhode Island Medicaid doula billing uses per-visit rates starting at $100.
Virginia
Rates start at $14.99 for initial prenatal doula visit, up to six 15-minute units.
Virginia Medicaid doula billing uses per-visit rates starting at $14.99.
Washington
$25 per 15-minute unit, with state caps.
Washington Medicaid doula billing uses 15-minute units and state-specific caps.
Before using a rate
Rates are only one part of billing. Check the full packet before submission.
Common questions
How much does Medicaid pay for doula services?
It depends on the state, service type, visit count, modifiers, and payer rules. Start with the state where the client is covered.
Are Medicaid doula rates the same in every state?
No. Each state can use different rates, codes, visit limits, and billing steps.
Does a listed rate mean my claim will be paid?
No. A listed rate is not a payment promise. The payer still checks eligibility, documentation, timing, policy, and claim details.