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Medicaid doula billing resources
Open the Medicaid page, plan page, fee schedule, or payer rule behind the billing question you are working on.
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.
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.
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.
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.
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.
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
CA
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
IL
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
LDH announced the MCOs moving forward through the 2026 contract extension.
Checked 2026-06-18
MD
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
NM
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 uses local CCOs. OHA keeps CCO contact information and plan-area details.
Checked 2026-06-18
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
WA
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
Turn 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.
Enrollment and payer access
Provider setup
Use these before the first claim or when you need to confirm setup.
Claim checks
Claim checks
Use these when you are preparing or checking a claim.
Follow-up work
Payment and denials
Use these after submission, when payment is unclear, late, partial, or denied.
Reference and training
Learn and share
Use these for training, short answers, and official link checks.