DoulaPaid

Rules changelog

Medicaid doula billing rules — last checked

DoulaPaid verifies every state's billing rules against official payer sources. Here is when each source was last checked and what version is current.

Create accountChoose your state
Source links point to official payer or state guidance.
Last-checked dates show DoulaPaid verification activity.
Version text comes from the source record we reviewed.

Official source review log

Rows are sorted with the most recently checked source first.

StateSource documentVersionLast checkedLink
ColoradoHCPF Doula Billing ManualColorado Department of Health Care Policy & FinancingLiving manual; benefit effective July 1, 2024Jun 18, 2026Official source
ColoradoHealth First Colorado January 2026 Fee Schedule PDFColorado Department of Health Care Policy & FinancingJanuary 2026 fee schedule; updated 02/06/2026; T1032 $25, T1033 $900Jun 18, 2026Official source
MissouriMO HealthNet Doula ProgramMissouri Department of Social Services / MO HealthNet DivisionBenefit effective for dates of service on or after 10/01/2024Jun 18, 2026Official source
MissouriMO HealthNet Medical Services Fee ScheduleMissouri Department of Social Services / MO HealthNet DivisionMedical Services fee schedule rows effective 10/01/2024 for S9443, S9445 TH/TS, S9482, T1032, T1033Jun 18, 2026Official source
NevadaNevada Medicaid Provider Type 90 Doula Fee ScheduleNevada Medicaid / DHCFPPT 90 fee schedule dated 04/2026; S9445 U1 $100; delivery codes U1 $900Jun 18, 2026Official source
NevadaProvider Type 90 Billing Guide - Doula ServicesNevada Medicaid / DHCFPUpdated 11/13/2024Jun 18, 2026Official source
New MexicoNMDOH Doula ProgramNew Mexico Department of HealthMedicaid reimbursement and certification pageJun 17, 2026Official source
New MexicoNew Mexico SPA 24-0004Centers for Medicare & Medicaid Services / New Mexico MedicaidApproved 12/05/2024; effective 10/01/2024Jun 17, 2026Official source
New Mexico2025 Doula and Lactation Provider Managed Care Reference GuideTurquoise Care MCOs with NMDOH partners2025 managed-care reference guide; rates not treated as HCA fee-schedule verificationJun 17, 2026Official source
ArizonaAHCCCS Doula Services - DFSM Provider TrainingAHCCCSDecember 2, 2025; coverage effective October 1, 2024Jun 15, 2026Official source
ArizonaAHCCCS Notice of Public Information - FFS rate changes effective 10/1/2024AHCCCSDoula fee schedule: T1032 $15.26 per 15 minutes; T1033 $488.40 per diemJun 15, 2026Official source
IllinoisHFS Fee Schedule For DoulasIllinois Department of Healthcare and Family Services (HFS)Effective 02/01/2024; updated 12/19/2024Jun 15, 2026Official source
IllinoisHFS Provider Notice - Doula Services enrollment and coverageIllinois HFSIssued 12/19/2024Jun 15, 2026Official source
MarylandMaryland Medicaid Doula Services Program ManualMaryland Department of Health / Medicaid (MMCP)Updated January 13, 2026 (rates as of 7/1/2023); 8:1 model, codes/rates/modifiers, Z32.2, ePREP "DL", COMAR 10.09.39Jun 15, 2026Official source
MarylandBecome a Doula Provider (MDH)Maryland Department of HealthDoula provider enrollment informationJun 15, 2026Official source
Massachusetts101 CMR 319.00 - Rates for Doula ServicesMassachusetts Executive Office of Health and Human ServicesEffective December 8, 2023; 99600 $100, 99600 TF $150, 99199 $900; $800 perinatal-period capJun 15, 2026Official source
MassachusettsMassHealth Doula Services Program - Information for DoulasMassHealth (MA EOHHS)Program coverage and provider informationJun 15, 2026Official source
PennsylvaniaPA MA Bulletin - Coverage of and Payment for Doula Services in the MA ProgramPennsylvania DHS / OMAPIssued December 23, 2024; effective January 1, 2025; T1032 U7 $100, U8 $100, U9 $175, T1033 $1,000Jun 15, 2026Official source
PennsylvaniaPA Certification Board - Perinatal DoulaPennsylvania Certification BoardCertified perinatal doula requirementJun 15, 2026Official source
Rhode IslandRI Medicaid Doula Services Manual V1.3Rhode Island EOHHS / MedicaidVersion 1.3, March 2026; procedure codes and rates unchanged from V1.2 (S9445 / 59510 / 59400 / S9446)Jun 15, 2026Official source
Rhode IslandEOHHS Doula Services provider pageRhode Island EOHHSEnrollment via RI Medicaid Healthcare Portal, taxonomy 374J00000X, RICB certificate + W-9 requirementsJun 15, 2026Official source
CaliforniaDHCS Medi-Cal FFS Doula Billing Codes ChartCalifornia Department of Health Care Services2024 TRI rates for services provided on or after January 1, 2024Jun 13, 2026Official source
CaliforniaDHCS Doula ProvidersCalifornia Department of Health Care ServicesStanding recommendation, PAVE enrollment, MCP contracting, and provider resources reviewed June 13, 2026Jun 13, 2026Official source
CaliforniaMedi-Cal Provider Manual Part 2: Doula ServicesCalifornia Department of Health Care Services / Medi-CalUpdated through December 2025: diagnosis table, XP modifier, service caps, documentation, telehealth modifier referencesJun 13, 2026Official source
CaliforniaDHCS Billing Tips for Doula ProvidersCalifornia Department of Health Care ServicesUpdated October 17, 2024: BIC checks, RAD denial tips, diagnosis requirement, XP modifier reminderJun 13, 2026Official source
ConnecticutCT DSS Provider Bulletin 2025-14: New Coverage of Certified DoulasConnecticut Department of Social ServicesEffective January 1, 2025; T1033 $100 perinatal visits, T1033-HD $800 labor/delivery, referral, PA, telemedicine, documentation, and fee schedule accessJun 13, 2026Official source
ConnecticutCT DSS Provider Bulletin 2025-05: DPH Doula Certification and Enrollment CriteriaConnecticut Department of Social ServicesDPH certification and CMAP enrollment requirements for doulasJun 13, 2026Official source
District of ColumbiaDHCF Transmittal 25-36: Medicaid Doula Services Rate Change Effective January 1, 2026DC Department of Health Care FinanceCY2026 rates effective January 1, 2026 through December 31, 2026Jun 13, 2026Official source
District of ColumbiaDHCF Transmittal 25-36 PDFDC Department of Health Care FinanceRate table for 99600 HD, 59400 HD, 59514 HD, 59612 HD, 99199 HD, and 99199 HD U8Jun 13, 2026Official source
District of ColumbiaDHCF Transmittal 22-34: Doula Benefit, Provider Qualifications, Rates and Reimbursement StandardsDC Department of Health Care FinanceEnrollment, provider qualification, visit limit, billing, and documentation standards effective October 1, 2022Jun 13, 2026Official source
LouisianaLouisiana Medicaid Professional Services Provider ManualLouisiana Department of Health / Louisiana MedicaidChapter 5 Professional Services, Section 5.1, issued December 29, 2025; doula coverage, qualifications, codes, and visit limitsJun 13, 2026Official source
LouisianaLouisiana Medicaid Professional Services Fee ScheduleLouisiana Department of Health / GainwellEffective for dates of service on and after January 1, 2026; 99404 $35.41, S9445 $69.69, 99199 $459, S9442/S9443/S9444 $40.80Jun 13, 2026Official source
LouisianaLouisiana Medicaid Doula Provider Enrollment NoticeLouisiana Department of HealthManaged care coverage effective January 1, 2026; FFS coverage effective January 20, 2026; provider enrollment packetsJun 13, 2026Official source
MichiganMDHHS Doula Fee ScheduleMichigan Department of Health and Human ServicesJanuary 2026 fee schedule: S9445 HD $100, T1033 HD $1,500Jun 13, 2026Official source
MichiganMDHHS Doula Billing GuidanceMichigan Department of Health and Human ServicesCHAMPS billing, diagnosis codes, HD modifier, telemedicine modifier 95, and labor/delivery restrictionsJun 13, 2026Official source
MichiganMDHHS Doula Provider FAQ GuidanceMichigan Department of Health and Human ServicesRegistry, CHAMPS enrollment, statewide standing recommendation, documentation, 12 visits plus prior authorization pathJun 13, 2026Official source
MinnesotaMinnesota Health Care Programs Provider ManualMinnesota Department of Human ServicesDoula Services page revised September 16, 2025; T1033 / T1033+U4; 18 sessions without PAJun 13, 2026Official source
MinnesotaMinnesota Statutes 256B.758 Payment for Doula ServicesMinnesota Office of the Revisor of Statutes2025 statute; rates effective January 1, 2024Jun 13, 2026Official source
New JerseyNJMMIS Procedure Master Listing - Medicaid Fee for ServiceNew Jersey Medicaid / NJMMISCY2026 Q2 listing: 99600/99199 HD rows $16.62 per 15-minute unit, 59409/59514 HD delivery rows $500, 99199 HD U8 $100Jun 13, 2026Official source
New JerseyNJ DMAHS Provider Newsletter Vol. 31 No. 4: Doula CareNew Jersey Division of Medical Assistance and Health ServicesRevised billing codes, diagnosis Z32.2, standard/enhanced visit limits, recommendation requirement, and submission routesJun 13, 2026Official source
New JerseyNJ DMAHS Doula Care Provider OverviewNew Jersey Division of Medical Assistance and Health ServicesNJ FamilyCare doula benefit, FFS directory and MCO directory references, provider resourcesJun 13, 2026Official source
New JerseyNJ DOH Community Doula Provider StepsNew Jersey Department of HealthFFS enrollment first, approved training, supplemental community competency, background check, liability insurance, MCO contracting after FFSJun 13, 2026Official source
New YorkeMedNY Doula Services Benefit Policy ManualeMedNY / New York State Department of HealthMarch 2026Jun 13, 2026Official source
New YorkeMedNY Doula Services Billing GuidelineseMedNY / New York State Department of HealthCurrent doula billing guidelinesJun 13, 2026Official source
New YorkNew York State Medicaid Fee-for-Service Doula Services Fee ScheduleeMedNY / New York State Department of HealthT1032 and T1033 rates effective March 1, 2024Jun 13, 2026Official source
OregonOHA Birth Doula Fee-for-Service Billing GuideOregon Health Authority, Health Systems DivisionJanuary 2025; T1033+HD global $1,505 / support visit $215 / day-of-delivery $645Jun 13, 2026Official source
OregonOregon Administrative Rule 410-130-0015, Doula ServicesOregon Secretary of State / Oregon Health AuthorityCurrent rule reviewed June 13, 2026Jun 13, 2026Official source
VirginiaVirginia DMAS Procedure Fee Files & CPT CodesVirginia Department of Medical Assistance ServicesProcedure fee files updated June 11, 2026; DOULA rows: 99600/59425/59430 at $14.99 per 15-minute unit, 59409/59514 at $350, 99199 incentive at $50Jun 13, 2026Official source
VirginiaVirginia DMAS Community Doula ProgramVirginia Department of Medical Assistance ServicesProvider certification, NPI, Medicaid enrollment, liability insurance, MCO contracting, licensed-practitioner recommendation, no prior authorization, eligibility, and training resourcesJun 13, 2026Official source
VirginiaDMAS Bulletin: Maternal Health Bills and Budget Items Effective July 1, 2025Virginia Department of Medical Assistance ServicesPostpartum doula visits increased 4 to 6, coverage window extended to 12 months postpartum, and 59430-HD with diagnosis Z32.2 identifiedJun 13, 2026Official source
VirginiaVirginia SPA 21-013 Doula ServicesVirginia Department of Medical Assistance Services / CMSState plan authority for doula benefit, visit-unit structure, incentives, and published fee-schedule methodJun 13, 2026Official source
WashingtonWashington HCA Birth Doula Services Billing GuideWashington State Health Care AuthorityApril 1, 2026Jun 10, 2026Official source
WashingtonWashington HCA Birth Doula Services Fee ScheduleWashington State Health Care AuthorityJanuary 1, 2025 to present; published December 30, 2024Jun 10, 2026Official source

Useful 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