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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.

Jul 19, 2026

Oklahoma

Checked Oklahoma Health Care Authority: OHCA SoonerCare Fee Schedule.

State guideChange noteOfficial source

Jul 12, 2026

Arizona

Checked AHCCCS: AHCCCS Doula FAQs.

State guideChange noteOfficial source

Jul 12, 2026

Arizona

Checked AHCCCS: AHCCCS Doula FAQs.

State guideChange noteOfficial source

Jul 12, 2026

Arizona

Checked AHCCCS: AHCCCS Doula FAQs.

State guideChange noteOfficial source

Jul 12, 2026

Illinois

Checked Illinois Department of Healthcare and Family Services (HFS): HFS Fee Schedule For Doulas.

State guideChange noteOfficial source

Jul 12, 2026

Illinois

Checked Illinois Department of Healthcare and Family Services (HFS): HFS Fee Schedule For Doulas.

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 87 source checks. Older checks are listed in the state guides and change notes.

StateSource documentWhat changedVersionLast checkedLinks
OklahomaOHCA SoonerCare Fee ScheduleOklahoma Health Care AuthorityChecked Oklahoma Health Care Authority: OHCA SoonerCare Fee Schedule.July 1, 2026 Title XIX physician base rows: 59409 $641.33, 59514 $729.90, 59612 $729.15, 59620 $754.89; 59899 remains manual-priced publiclyJul 19, 2026Change noteState guideOfficial source
ArizonaAHCCCS Doula FAQsAHCCCSChecked AHCCCS: AHCCCS Doula FAQs.Revised August 28, 2025; T1032 $16.28, T1033 $781.32, routine code limits and medical-necessity prior-authorization exceptionJul 12, 2026Change noteState guideOfficial source
ArizonaAHCCCS Doula FFS Rates & CodesAHCCCSChecked AHCCCS: AHCCCS Doula FAQs.Current rate page linking rates effective October 1, 2025Jul 12, 2026Change noteState guideOfficial source
ArizonaAHCCCS Final Doula FFS RatesAHCCCSChecked AHCCCS: AHCCCS Doula FAQs.Rates effective October 1, 2025: T1032 $16.28 and T1033 $781.32Jul 12, 2026Change noteState guideOfficial source
IllinoisHFS Fee Schedule For DoulasIllinois Department of Healthcare and Family Services (HFS)Checked Illinois Department of Healthcare and Family Services (HFS): HFS Fee Schedule For Doulas.Effective 05/01/2026, updated 05/05/2026; S9445/S9444 individual $15 per 15 minutes, S9445-HQ/S9444-HQ group $5 per 15 minutes per customer, plus delivery and attendance rowsJul 12, 2026Change noteState guideOfficial source
IllinoisHFS Provider Notice - Daily limits and encounter-time documentationIllinois Department of Healthcare and Family Services (HFS)Checked Illinois Department of Healthcare and Family Services (HFS): HFS Fee Schedule For Doulas.Issued 05/05/2026, effective 05/01/2026; FFS and HealthChoice daily-unit limits and start/end-time documentationJul 12, 2026Change noteState guideOfficial source
New YorkNYSDOH Non-Patient-Specific Standing Order for Doula ServicesNew York State Department of HealthChecked New York State Department of Health: NYSDOH Non-Patient-Specific Standing Order for Doula Services.Effective June 10, 2026; remains in effect for one yearJul 12, 2026Change noteState guideOfficial source
OhioOhio Medicaid MISP Services OverviewOhio Department of MedicaidChecked Ohio Department of Medicaid: Ohio Medicaid MISP Services Overview.January 22, 2026 services overview; FFS rates and limits, separate MCO schedules, and minimum MCO reimbursement through October 2026Jul 12, 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)Jul 11, 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 portalJul 11, 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, 2024Jul 11, 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 requirementsJul 11, 2026Change noteState guideOfficial source
KansasCurrent KanCare Provider RosterKansas Department of Health and EnvironmentChecked Kansas Medical Assistance Program (KMAP): KMAP Professional Provider Manual.Current Healthy Blue, Sunflower, and UnitedHealthcare provider lanesJul 11, 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 responsibilitiesJul 11, 2026Change noteState guideOfficial source
VirginiaVirginia DMAS Practitioner Manual Chapter 5Virginia Department of Medical Assistance ServicesChecked Virginia Department of Medical Assistance Services: Virginia DMAS Practitioner Manual Chapter 5.Updated November 6, 2025; professional billing and FFS-versus-MCO routingJul 11, 2026Change noteState guideOfficial source
VirginiaVirginia DMAS Claims and BillingVirginia Department of Medical Assistance ServicesChecked Virginia Department of Medical Assistance Services: Virginia DMAS Practitioner Manual Chapter 5.Current fee-for-service claims and billing entry pointJul 11, 2026Change noteState guideOfficial source

Next steps

How we verifyRead the source verification approach behind these rule records.OpenChoose a stateOpen state-specific billing rules, denials, rates, and checklists.OpenCompare ratesSee state-by-state Medicaid doula reimbursement differences.Open