Menu
Original research · 2026 edition
State of Doula Medicaid Reimbursement
National Medicaid doula coverage, payment models, known rates, and recent changes based on official state sources.
The 2026 snapshot, by the numbers
Official sources reviewed through July 2026 show the current national Medicaid doula reimbursement landscape.
29
States + DC covering doula care through Medicaid
57% of all 50 states + DC
6
States implementing a Medicaid doula benefit
Announced or being implemented; billing is unavailable.
35
Jurisdictions tracked
Covered + implementing states tracked by DoulaPaid
13
States with a documented reimbursement rate
Verified against an official source
6
States with a documented postpartum coverage window
Beyond the birth visit itself
7
States with a named certification or registry body
A specific agency or board credentials doulas for Medicaid
Sources: Georgetown Center for Children and Families; NASHP state tracker; Axios (2026); individual state Medicaid agencies (linked from the full coverage table). NASHP reported in March 2026 that 26 states and Washington, DC reimburse doulas in Medicaid programs. The dataset reflects sources checked by DoulaPaid as of July 2026.
Reimbursement pathway mix
Among states that cover doula care, how does payment move: through state Medicaid, health plans, or both?
22
State Medicaid + health plans
Doulas may bill through state Medicaid and Medicaid health plans.
1
Health plan only
Payment runs through Medicaid health plans.
1
State Medicaid only
Payment runs through state Medicaid.
5
Pathway not documented
Covered, but no official source confirms the state Medicaid and health plan split.
Complete 50-state + DC status table
The dataset covers every U.S. state and the District of Columbia. “Not documented” means no official coverage or implementation source was recorded.
| State | Status | Pathway | Rate summary | Source |
|---|---|---|---|---|
| Alabama | not documented | Not documented | Not documented | No source row |
| Alaska | not documented | Not documented | Not documented | No source row |
| Arizona | covered | FFS + MCO | Not documented | Source |
| Arkansas | covered | Unavailable | Unavailable | Source |
| California | covered | FFS + MCO | Not documented | Source |
| Colorado | covered | Unavailable | Unavailable | Source |
| Connecticut | covered | FFS + MCO | Not documented | Source |
| Delaware | covered | Unavailable | Unavailable | Source |
| District of Columbia | covered | FFS + MCO | Not documented | Source |
| Florida | covered | Unavailable | Unavailable | Source |
| Georgia | not documented | Not documented | Not documented | No source row |
| Hawaii | not documented | Not documented | Not documented | No source row |
| Idaho | not documented | Not documented | Not documented | No source row |
| Illinois | covered | FFS + MCO | $15 individual / $5 HQ group education units; $720 delivery | Source |
| Indiana | not documented | Not documented | Not documented | No source row |
| Iowa | not documented | Not documented | Not documented | No source row |
| Kansas | covered | FFS + MCO | T1032 $15/unit; T1033 $500 | Source |
| Kentucky | not documented | Not documented | Not documented | No source row |
| Louisiana | covered | FFS + MCO | Not documented | Source |
| Maine | implementing | Not documented | Not documented | Source |
| Maryland | covered | FFS + MCO | Not documented | Source |
| Massachusetts | covered | Unavailable | Unavailable | Source |
| Michigan | covered | FFS + MCO | Not documented | Source |
| Minnesota | covered | FFS + MCO | $100/visit; $1,400 birth | Source |
| Mississippi | not documented | Not documented | Not documented | No source row |
| Missouri | covered | FFS + MCO | Preventive benefit | Source |
| Montana | implementing | Not documented | Not documented | Source |
| Nebraska | implementing | Not documented | Not documented | Source |
| Nevada | covered | FFS + MCO | Not documented | Source |
| New Hampshire | implementing | Not documented | Not documented | Source |
| New Jersey | covered | FFS + MCO | ~$1,065 + $100 incentive | Source |
| New Mexico | covered | MCO | T1032 $25/unit; T1033 $1,500 | Source |
| New York | covered | FFS + MCO | Not documented | Source |
| North Carolina | not documented | Not documented | Not documented | No source row |
| North Dakota | not documented | Not documented | Not documented | No source row |
| Ohio | covered | FFS + MCO | FFS T1032 $12.50/unit; T1033 $600; MCO schedules vary | Source |
| Oklahoma | covered | FFS + MCO | 8 visits + 1 labor/delivery | Source |
| Oregon | covered | FFS + MCO | Global package | Source |
| Pennsylvania | covered | FFS + MCO | Not documented | Source |
| Rhode Island | covered | FFS + MCO | Up to $1,500/pregnancy | Source |
| South Carolina | not documented | Not documented | Not documented | No source row |
| South Dakota | covered | FFS | Up to $1,800/pregnancy | Source |
| Tennessee | implementing | Not documented | Not documented | Source |
| Texas | not documented | Not documented | Not documented | No source row |
| Utah | covered | FFS + MCO | T1032 $11.59/unit; T1033 $834.28 | Source |
| Vermont | implementing | Not documented | Not documented | Source |
| Virginia | covered | FFS + MCO | Not documented | Source |
| Washington | covered | FFS + MCO | Up to ~$3,500/client | Source |
| West Virginia | not documented | Not documented | Not documented | No source row |
| Wisconsin | not documented | Not documented | Not documented | No source row |
| Wyoming | not documented | Not documented | Not documented | No source row |
| American Samoa | not documented | Not documented | Not documented | No source row |
| Guam | not documented | Not documented | Not documented | No source row |
| Northern Mariana Islands | not documented | Not documented | Not documented | No source row |
| Puerto Rico | not documented | Not documented | Not documented | No source row |
| U.S. Virgin Islands | not documented | Not documented | Not documented | No source row |
What changed most recently
The newest cohort reports Medicaid doula coverage starting in 2026.
Utah
Medicaid doula coverage began in 2026 (FFS + MCO). T1032 $11.59/unit; T1033 $834.28.
Official sourceCoverage start dates on record
- 2019: Minnesota
- 2021: New Jersey
- 2022: District of Columbia, Virginia, Washington
- 2023: California, Massachusetts, Oklahoma
- 2024: Arizona, Colorado, Delaware, Kansas, Missouri, Ohio
- 2025: Pennsylvania, South Dakota
- 2026: Arkansas, Louisiana, Utah
Start dates reflect what each state has documented publicly; states without a confirmed start date are omitted. See the full table for every tracked state.
Where rates and postpartum coverage are documented
Official sources document reimbursement rates or postpartum coverage windows for these states.
Documented reimbursement rates
- Illinois: $15 individual / $5 HQ group education units; $720 delivery
- Kansas: T1032 $15/unit; T1033 $500
- Minnesota: $100/visit; $1,400 birth
- Missouri: Preventive benefit
- New Jersey: ~$1,065 + $100 incentive
- New Mexico: T1032 $25/unit; T1033 $1,500
- Ohio: FFS T1032 $12.50/unit; T1033 $600; MCO schedules vary
- Oklahoma: 8 visits + 1 labor/delivery
- Oregon: Global package
- Rhode Island: Up to $1,500/pregnancy
- South Dakota: Up to $1,800/pregnancy
- Utah: T1032 $11.59/unit; T1033 $834.28
- Washington: Up to ~$3,500/client
Documented postpartum coverage windows
- Arizona: 12 months
- Kansas: 12 months
- Minnesota: Within 18-session allowance
- Missouri: 12 months
- Pennsylvania: 12 months
- South Dakota: 365 days
Certification and registry bodies
Some states route Medicaid doula eligibility through a specific certification program or registry rather than open enrollment.
- Arizona: AZ Dept. of Health Services
- Illinois: SIU School of Medicine (IL Medicaid-Certified Doula Program)
- Minnesota: MN Dept. of Health Doula Registry
- Nevada: Nevada Certification Board
- Pennsylvania: PA Certification Board
- Rhode Island: RI Certification Board (RICB)
- Washington: WA DOH-approved training
Methodology and sources
Rows combine national policy trackers with official state Medicaid sources. Unconfirmed fields remain blank.
Each row starts from Georgetown Center for Children and Families' tracking of state Medicaid doula benefits and the NASHP state tracker, then is checked against the individual state Medicaid agency page linked from that state's row. Fields are filled in only where an official source confirms them; unconfirmed fields are left blank rather than estimated.
Source dates, versions, and corrections follow the How we verify. Reported errors are logged on the corrections page.
DoulaPaid is not affiliated with any state Medicaid agency, CMS, NASHP, or Georgetown CCF. No claim approval or individual payment amount is promised. Confirm current rules with the official state source linked from each row.
Cite or download the data
Researchers, journalists, advocacy organizations, and doula associations may cite the report with attribution.
Suggested citation
You can cite DoulaPaid as a guide. For billing, appeals, or legal decisions, use the official Medicaid source.
Short
DoulaPaid. "State of Doula Medicaid Reimbursement (2026 Edition)." Updated July 2026. https://doulapaid.com/state-of-doula-medicaid-reimbursement-2026
Full
DoulaPaid. "State of Doula Medicaid Reimbursement (2026 Edition)." Coverage dataset updated July 2026; rates CSV reviewed through 2026-07-19. https://doulapaid.com/state-of-doula-medicaid-reimbursement-2026
Markdown
DoulaPaid. ["State of Doula Medicaid Reimbursement (2026 Edition)"](https://doulapaid.com/state-of-doula-medicaid-reimbursement-2026). Data: [coverage table](https://doulapaid.com/medicaid-doula-coverage) and [rates CSV](https://doulapaid.com/medicaid-doula-rates.csv).
Download data
Use the report URL for citation. Download the CSV for state-level rate rows with codes, modifiers, unit rules, source URLs, and checked dates.
Open license
The reimbursement dataset is published under CC BY 4.0. Reuse is welcome with attribution and a link to DoulaPaid.
DoulaPaid, "State of Doula Medicaid Reimbursement (2026 Edition)," https://doulapaid.com/state-of-doula-medicaid-reimbursement-2026
Link to the report URL for current figures and official sources. The full sortable table is available at Doula Medicaid coverage by state. Report errors through corrections page.
Edition history
- July 2026: First edition, covering 35 tracked jurisdictions (29 covering, 6 implementing).
Coverage data changes when state benefits change. Dated editions remain available for citation.
Report FAQ
How many states cover doula services through Medicaid?
As of July 2026, 28 states plus the District of Columbia cover doula services through Medicaid, with 6 more jurisdictions implementing.
Which states have active billing guides?
Active billing guides with official source links are available for Arizona, California, Connecticut, District of Columbia, Illinois, Kansas, Louisiana, Maryland, Michigan, Minnesota, Missouri, Nevada, New Jersey, New Mexico, New York, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Dakota, Utah, Virginia, Washington.
How often is this data reviewed?
State agencies, payer guides, fee schedules, and policy trackers can change. Each state guide lists its source-check date. The rates CSV was checked through 2026-07-19.
Get the full report
Download the 2026 report (PDF)
Get the complete State of Doula Medicaid Reimbursement report: every state, payment path, rate, and postpartum window, plus updates when the data changes.
Free. We email the PDF and occasional data updates. Unsubscribe anytime.
Billing tools
Check first-claim requirements without creating an account.