Billing Resource Bundle
Download reusable, zero-PHI billing worksheets and source-linked planning resources.
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Resources
Medicaid doula billing resources
Open the Medicaid page, plan page, fee schedule, or payer rule behind the billing question you are working on.
Check official pages before claim work.
Keep source links with your notes.
Use public pages without client details.
Source finder
Choose the source type first, then open the state or payer link you need.
State source
Provider pages, billing guides, state rules, and official source links.
Managed care
Health plan links and payer-routing notes by active state.
Fee schedule
Download public rate rows and open state fee-schedule links.
Federal context
CMS, NPI, and national Medicaid doula policy background.
Billing-company readiness
ProviderOne, CHAMPS, and 837P requirements for an established billing company adding Medicaid doulas.
California guide
Medi-Cal doula rules, provider steps, and official sources.
Frequently needed state billing guides
Open the state guide before payer setup or first-claim work. Each guide links back to the official source material.
Ohio ODM 10381 and prior authorization sources
Use these official Ohio sources for the form search, then confirm whether the member is fee-for-service or in a managed care plan.
Federal context
These national sources explain Medicaid doula reimbursement, policy context, NPI lookup, and the federal preventive-service rule.
Medicaid Reimbursement for Doula Services· Centers for Medicare & Medicaid Services· checked 2026-06-19Doulas in Medicaid case study findings· MACPAC· checked 2026-06-19NPPES NPI Registry· Centers for Medicare & Medicaid Services· checked 2026-06-1942 CFR 440.130(c), preventive services· Electronic Code of Federal Regulations· checked 2026-06-19
Downloadable data
Download Medicaid doula coverage and rate data.
Official state source directory
Use the state provider page, billing guide, fee schedule, or regulation before claim work.
AZ
Arizona
Provider, billing, fee schedule, and rule links checked against official sources.
CA
California
Provider, billing, fee schedule, and rule links checked against official sources.
CT
Connecticut
Provider, billing, fee schedule, and rule links checked against official sources.
DC
District of Columbia
Provider, billing, fee schedule, and rule links checked against official sources.
IL
Illinois
Provider, billing, fee schedule, and rule links checked against official sources.
Doula enrollment and coverage notice· Illinois HFS· checked 2026-06-192026 Fee Schedule For Doulas· Illinois HFS· checked 2026-06-19Daily limits and encounter-time documentation notice· Illinois HFS· checked 2026-06-19HealthChoice Illinois provider FAQ· Illinois HFS· checked 2026-06-19Illinois SPA IL-24-0005· Medicaid.gov· checked 2026-06-19
KS
Kansas
Provider, billing, fee schedule, and rule links checked against official sources.
LA
Louisiana
Provider, billing, fee schedule, and rule links checked against official sources.
MD
Maryland
Provider, billing, fee schedule, and rule links checked against official sources.
MI
Michigan
Provider, billing, fee schedule, and rule links checked against official sources.
MN
Minnesota
Provider, billing, fee schedule, and rule links checked against official sources.
Medical Assistance doula services coverage· Minnesota Revisor of Statutes· checked 2026-06-19Minnesota Statutes 256B.0625· Minnesota Office of the Revisor of Statutes· checked 2026-06-19Minnesota doula services reimbursement· Minnesota Revisor of Statutes· checked 2026-06-19Minnesota managed care statute· Minnesota Revisor of Statutes· checked 2026-06-19
MO
Missouri
Provider, billing, fee schedule, and rule links checked against official sources.
NV
Nevada
Provider, billing, fee schedule, and rule links checked against official sources.
NJ
New Jersey
Provider, billing, fee schedule, and rule links checked against official sources.
NM
New Mexico
Provider, billing, fee schedule, and rule links checked against official sources.
NY
New York
Provider, billing, fee schedule, and rule links checked against official sources.
OH
Ohio
Provider, billing, fee schedule, and rule links checked against official sources.
OK
Oklahoma
Provider, billing, fee schedule, and rule links checked against official sources.
OR
Oregon
Provider, billing, fee schedule, and rule links checked against official sources.
OHP pregnancy care provider page· Oregon Health Authority· checked 2026-08-21Birth Doula Billing Guide· Oregon Health Authority· checked 2026-08-21Traditional Health Worker Registry· Oregon Health Authority· checked 2026-08-21Coordinated care organizations· Oregon Health Authority· checked 2026-08-21
PA
Pennsylvania
Provider, billing, fee schedule, and rule links checked against official sources.
RI
Rhode Island
Provider, billing, fee schedule, and rule links checked against official sources.
SD
South Dakota
Provider, billing, fee schedule, and rule links checked against official sources.
UT
Utah
Provider, billing, fee schedule, and rule links checked against official sources.
VA
Virginia
Provider, billing, fee schedule, and rule links checked against official sources.
WA
Washington
Provider, billing, fee schedule, and rule links checked against official sources.
Doulas provider page· Washington Health Care Authority· checked 2026-06-29Provider billing guides and fee schedules· Washington Health Care Authority· checked 2026-06-29Birth Doula Services Billing Guide, July 1, 2026· Washington Health Care Authority· checked 2026-06-29WAC 182-533 birth doula services· Washington Legislature· checked 2026-06-29Change my Apple Health plan· Washington Health Care Authority· checked 2026-06-29
Managed care plan directory
Open the plan or state page before setup, contracting, or claim work.
AZ
Arizona
AHCCCS Complete Care plans
AHCCCS plan availability depends on county and program.
Checked 2026-06-18
Arizona Complete Health provider resourcesBanner-University Family Care provider resourcesMolina Healthcare Arizona provider searchMercy Care provider searchHealth Choice provider directoryUnitedHealthcare AZ provider portal
Open Arizona managed care hubCA
California
Medi-Cal managed care plans
California plan options are county-specific. Start with the DHCS directory by county.
Checked 2026-06-18
Open California managed care hubCT
Connecticut
Use the official state source to confirm whether managed care, fee-for-service, or another payer path applies.
DC
District of Columbia
DC Medicaid managed care plans
DC lists three core MCPs and a separate HSCSN plan for CASSIP.
Checked 2026-06-18
Wellpoint DCAmeriHealth Caritas DCMedStar Family Choice DCHealth Services for Children with Special Needs (CASSIP)
Open District of Columbia managed care hubIL
Illinois
Use the official state source to confirm whether managed care, fee-for-service, or another payer path applies.
KS
Kansas
Use the official state source to confirm whether managed care, fee-for-service, or another payer path applies.
LA
Louisiana
Louisiana Medicaid MCOs
Healthy Louisiana currently has five MCOs. UnitedHealthcare Community Plan exited effective April 1, 2026 and is not an active route.
Checked 2026-08-21
Aetna Better HealthAmeriHealth Caritas LouisianaHealthy BlueHumana Healthy Horizons in LouisianaLouisiana Healthcare Connections
Open Louisiana managed care hubMD
Maryland
HealthChoice MCOs
Identify the member's HealthChoice MCO, then confirm doula provider setup with that plan.
Checked 2026-06-18
Open Maryland managed care hubMI
Michigan
Michigan Medicaid health plans
Michigan publishes health plan service areas and enrollment by county.
Checked 2026-06-18
Open Michigan managed care hubMN
Minnesota
MHCP MCO contacts
Minnesota keeps provider contact pages and county-based health plan resources.
Checked 2026-06-18
Open Minnesota managed care hubMO
Missouri
Use the official state source to confirm whether managed care, fee-for-service, or another payer path applies.
NV
Nevada
Use the official state source to confirm whether managed care, fee-for-service, or another payer path applies.
NJ
New Jersey
NJ FamilyCare MCOs
NJ says five MCOs participate in NJ FamilyCare Medicaid.
Checked 2026-06-18
Aetna Better Health of New JerseyFidelis CareHorizon NJ HealthUnitedHealthcare Community PlanWellpoint
Open New Jersey managed care hubNM
New Mexico
Use the official state source to confirm whether managed care, fee-for-service, or another payer path applies.
NY
New York
Use the official state source to confirm whether managed care, fee-for-service, or another payer path applies.
OH
Ohio
Use the official state source to confirm whether managed care, fee-for-service, or another payer path applies.
OK
Oklahoma
Use the official state source to confirm whether managed care, fee-for-service, or another payer path applies.
OR
Oregon
Oregon CCOs
Oregon currently lists 15 CCO entries. OHA keeps the current contact table and plan-area details.
Checked 2026-08-21
Open Oregon managed care hubPA
Pennsylvania
Physical HealthChoices MCOs
Pennsylvania groups HealthChoices physical health plans by region and county.
Checked 2026-06-18
Open Pennsylvania managed care hubRI
Rhode Island
RIte Care health plans
EOHHS says RIte Care families have a choice of three participating health plans.
Checked 2026-06-18
Open Rhode Island managed care hubSD
South Dakota
Use the official state source to confirm whether managed care, fee-for-service, or another payer path applies.
UT
Utah
Use the official state source to confirm whether managed care, fee-for-service, or another payer path applies.
VA
Virginia
Cardinal Care managed care plans
Virginia lists five managed care plans as of July 1, 2025.
Checked 2026-06-18
Aetna Better Health of VirginiaAnthem HealthKeepers PlusHumana Healthy Horizons of VirginiaSentara Health PlansUnitedHealthcare Community Plan
Open Virginia managed care hubWA
Washington
Apple Health managed care plans
Find Apple Health plan options by area. For birth doula billing, also confirm ProviderOne and HCA fee-for-service instructions before claim entry.
Checked 2026-06-18
Community Health Plan of WashingtonCoordinated CareMolina Healthcare of WashingtonUnitedHealthcare Community Plan of WashingtonWellpoint Washington
Open Washington managed care hubTurn sources into action
Choose the billing task you need to finish.
Most common first questions
Choose a billing question
Choose a state, billing question, or first-claim guide.
Billing helpChoose the billing question you need answered.Read guideChoose your stateStart with the client state before rates, forms, codes, or claim checks.Read guideI have a Medicaid clientCheck coverage, setup, records, and payment limits before starting paperwork.Read guideCan I accept Medicaid?Sort coverage, setup, eligibility, records, and where the claim goes.Read guide
Enrollment and payer access
Provider setup
Use these before the first claim or when you need to confirm setup.
Provider setup guideOrganize enrollment, identifiers, portal access, and first-claim setup.Read guideProvider enrollmentCheck enrollment, credentialing, NPI records, and payer portals.Read guideNPI basicsSee when an NPI, taxonomy, or group billing may matter.Read guideDirect billingCheck whether you can bill directly, through a group, or with a biller.Read guide
Claim checks
Claim checks
Use these when you are preparing or checking a claim.
Billing checklistCheck the state rule, setup, eligibility, notes, rates, and follow-up.Use checklistClaim checklist guideBring setup, eligibility, service details, visit notes, and review status together.Use checklistVisit note checklistSee what visit notes usually need before opening a state checklist.Use checklistClaim checklist worksheetCheck a claim without client names, IDs, dates of birth, or visit notes.Use checklistPrior authorizationCheck referral, recommendation, prior approval, and payer wording.Read guideEligibility verificationCheck coverage, service date, health plan or payer, and private record notes.Read guide
Follow-up work
Payment and denials
Use these after submission, when payment is unclear, late, partial, or denied.
Payment trackingTrack claim status, payer response, paid amount, and next action.Read guidePayment timingUnderstand what can make Medicaid payment fast, slow, or stuck.Read guideDenial helpStart with the denial reason and choose the next clean follow-up step.Read guideBilling mistakesCommon mistakes to catch before the first claim or after a denial.Read guide
Reference and training
Learn and share
Use these for training, short answers, and official link checks.
Free first-claim checksNo-signup checks for state rules, claim readiness, rates, and denials.Read guideBilling FAQShort answers about setup, claim checks, denials, payment, and privacy.Read guideBilling glossaryDefinitions for billing words doulas see in payer work.Read guideTraining resourcesResources for doula training programs, collectives, and graduates.Open official sourcePodcastShort episodes about claim checks, setup, denials, and visit notes.Read guideBrochuresOne-page handouts for classes, newsletters, and first-claim prep.Read guidePublic tools without client detailsSee what public tools accept and which information must stay private.Read guideEmbed badgesCopy-paste links for resource pages, training packets, and public directories.Read guide
Keep a reusable resource snapshot
The $39 Billing Resource Bundle is a permanent snapshot of the purchased bundle version. It is fulfilled automatically and does not require a partner or call.
DoulaPaid tools
Put the next billing step into a reusable plan
These are first-party DoulaPaid products. Checkout, access, and fulfillment are self-service; no partner introduction or sales call is required.
State Launch Kit
Turn your provider-setup choices into an automatic state enrollment and billing-route plan.
$49 one time
Check your stateData + Widget License
Use DoulaPaid data and embeddable widgets on one declared hostname for 365 days.
$149 for 365 days
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