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Rules changelog

Rules checked

Medicaid doula billing rules: last checked source dates.

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Source links point to official payer or state guidance.
Last-checked dates show when official sources were reviewed.
Version text comes from the official document.

What changed this week

These official sources were checked in the last 14 days. A changed source does not change a billing rule until the new text confirms it.

Aug 21, 2026

California

Checked California Department of Health Care Services: DHCS Medi-Cal FFS Doula Billing Codes Chart.

State guideChange noteOfficial source

Aug 21, 2026

California

Checked California Department of Health Care Services: DHCS Medi-Cal FFS Doula Billing Codes Chart.

State guideChange noteOfficial source

Aug 21, 2026

California

Checked California Department of Health Care Services: DHCS Medi-Cal FFS Doula Billing Codes Chart.

State guideChange noteOfficial source

Aug 21, 2026

California

Checked California Department of Health Care Services: DHCS Medi-Cal FFS Doula Billing Codes Chart.

State guideChange noteOfficial source

Aug 21, 2026

District of Columbia

Checked DC Department of Health Care Finance: DHCF Transmittal 25-36: Medicaid Doula Services Rate Change Effective January 1, 2026.

State guideChange noteOfficial source

Aug 21, 2026

District of Columbia

Checked DC Department of Health Care Finance: DHCF Transmittal 25-36: Medicaid Doula Services Rate Change Effective January 1, 2026.

State guideChange noteOfficial source

Official source check log

Sources are sorted by check date, with the most recent first. State guides and change notes include earlier source history.

Latest 16 of 86 source checks. Older checks are listed in the state guides and change notes.

StateSource documentWhat changedVersionLast checkedLinks
CaliforniaDHCS Medi-Cal FFS Doula Billing Codes ChartCalifornia Department of Health Care ServicesChecked California Department of Health Care Services: DHCS Medi-Cal FFS Doula Billing Codes Chart.2024 TRI rates for services provided on or after January 1, 2024Aug 21, 2026Change noteState guideOfficial source
CaliforniaDHCS Doula ProvidersCalifornia Department of Health Care ServicesChecked California Department of Health Care Services: DHCS Medi-Cal FFS Doula Billing Codes Chart.Standing recommendation, PAVE enrollment, MCP contracting, and provider resources reviewed August 21, 2026; 1,718 enrolled individual providers as of August 14, 2026Aug 21, 2026Change noteState guideOfficial source
CaliforniaMedi-Cal Provider Manual Part 2: Doula ServicesCalifornia Department of Health Care Services / Medi-CalChecked California Department of Health Care Services: DHCS Medi-Cal FFS Doula Billing Codes Chart.Updated through December 2025: diagnosis table, XP modifier, service caps, documentation, telehealth modifier referencesAug 21, 2026Change noteState guideOfficial source
CaliforniaDHCS Billing Tips for Doula ProvidersCalifornia Department of Health Care ServicesChecked California Department of Health Care Services: DHCS Medi-Cal FFS Doula Billing Codes Chart.Updated October 17, 2024: BIC checks, RAD denial tips, diagnosis requirement, XP modifier reminderAug 21, 2026Change noteState guideOfficial source
District of ColumbiaDHCF Transmittal 25-36: Medicaid Doula Services Rate Change Effective January 1, 2026DC Department of Health Care FinanceChecked DC Department of Health Care Finance: DHCF Transmittal 25-36: Medicaid Doula Services Rate Change Effective January 1, 2026.CY2026 rates effective January 1, 2026 through December 31, 2026Aug 21, 2026Change noteState guideOfficial source
District of ColumbiaDHCF Transmittal 25-36 PDFDC Department of Health Care FinanceChecked DC Department of Health Care Finance: DHCF Transmittal 25-36: Medicaid Doula Services Rate Change Effective January 1, 2026.Rate table for 99600 HD, 59400 HD, 59514 HD, 59612 HD, 99199 HD, and 99199 HD U8Aug 21, 2026Change noteState guideOfficial source
District of ColumbiaDHCF Transmittal 22-34: Doula Benefit, Provider Qualifications, Rates and Reimbursement StandardsDC Department of Health Care FinanceChecked DC Department of Health Care Finance: DHCF Transmittal 25-36: Medicaid Doula Services Rate Change Effective January 1, 2026.Enrollment, provider qualification, visit limit, billing, and documentation standards effective October 1, 2022Aug 21, 2026Change noteState guideOfficial source
District of ColumbiaDHCF Transmittal 26-19: Managed Care Plan TransitionDC Department of Health Care FinanceChecked DC Department of Health Care Finance: DHCF Transmittal 25-36: Medicaid Doula Services Rate Change Effective January 1, 2026.Effective August 1, 2026; Wellpoint responsibility through July 31, AmeriHealth transition, and referral/prior-authorization continuity through October 31, 2026Aug 21, 2026Change noteState guideOfficial source
District of ColumbiaDC Medicaid MCP 2026 Children's Report CardDC Department of Health Care FinanceChecked DC Department of Health Care Finance: DHCF Transmittal 25-36: Medicaid Doula Services Rate Change Effective January 1, 2026.Stable 2026 roster snapshot for AmeriHealth, HSCSN, MedStar, and the then-current Wellpoint lane; Transmittal 26-19 controls Wellpoint's August 2026 exitAug 21, 2026Change noteState guideOfficial source
KansasKMAP Professional Provider ManualKansas Medical Assistance Program (KMAP)Checked Kansas Medical Assistance Program (KMAP): KMAP Professional Provider Manual.Updated January 2026; doula billing section (T1032/T1033)Aug 21, 2026Change noteState guideOfficial source
KansasKMAP Fee SchedulesKansas Medical Assistance Program (KMAP)Checked Kansas Medical Assistance Program (KMAP): KMAP Professional Provider Manual.TXIX Medicaid fee schedule portal; dollar rates were not verified from the portalAug 21, 2026Change noteState guideOfficial source
KansasKMAP Bulletin 25256 - Doula Allowable Place of Service ClarificationKansas Medical Assistance Program (KMAP)Checked Kansas Medical Assistance Program (KMAP): KMAP Professional Provider Manual.November 2025; POS clarification retroactive to July 1, 2024Aug 21, 2026Change noteState guideOfficial source
KansasKDHE Doula ToolkitKansas Department of Health and EnvironmentChecked Kansas Medical Assistance Program (KMAP): KMAP Professional Provider Manual.Current recommendation and documentation requirementsAug 21, 2026Change noteState guideOfficial source
Kansas2026 KanCare Health Plans' SubcontractorsKansas Department of Health and EnvironmentChecked Kansas Medical Assistance Program (KMAP): KMAP Professional Provider Manual.Updated April 27, 2026; stable official 2026 Healthy Blue, Sunflower, and United plan-lane rosterAug 21, 2026Change noteState guideOfficial source
KansasKanCare Provider Frequently Asked QuestionsKansas Department of Health and Environment / KanCareChecked Kansas Medical Assistance Program (KMAP): KMAP Professional Provider Manual.Current KMAP and managed-care routing responsibilitiesAug 21, 2026Change noteState guideOfficial source
LouisianaLouisiana Medicaid Professional Services Provider ManualLouisiana Department of Health / Louisiana MedicaidChecked Louisiana Department of Health / Louisiana Medicaid: Louisiana Medicaid Professional Services Provider Manual.Chapter 5 Professional Services, Section 5.1, issued December 29, 2025; doula coverage, qualifications, codes, and visit limitsAug 21, 2026Change noteState guideOfficial source

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Next steps

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