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Operations intelligence · 2026 edition

State of Medicaid Doula Billing Operations

State-level Medicaid doula billing rules, public directory counts, provider readiness, source changes, and Review Desk request totals.

The dataset excludes organization, user, contact, search, IP, user-agent, raw-text, and exact-timestamp fields.
Counts from 1-10 are suppressed and complementary suppression is applied where needed.
Rows use official-source status and aggregate product counts only.

Snapshot

Active state billing guides

24

States with public directories

4

Rows with suppression

4

How to cite

Download the current CSV or JSON and use the suggested citation.

Suggested citation

DoulaPaid, "State of Medicaid Doula Billing Operations (2026 Edition)," https://doulapaid.com/state-of-medicaid-doula-billing-operations-2026

License: CC BY 4.0. Release date: 2026-07-02. Keep the suppression notes when quoting the dataset.

Included distributions

Methodology

The report combines state billing status, public directory totals, provider setup categories, billing-route categories, reviewed source changes, and Review Desk request totals. It contains aggregate data only.

Review Desk totals include completed live paid orders with positive retained cash. Fully refunded orders are excluded; partially refunded orders remain only while some payment is retained. Profitability values appear only when staff time, acquisition costs, variable costs, and Stripe fees are recorded.

Zero is shown as 0.
Counts from 1-10 are shown as suppressed.
Counts of 11 or more are shown when they cannot reveal a suppressed cell.
Each state or service group is counted once.
Provider readiness is published only as coarse completion categories.
Review Desk requests are grouped by service and state when the privacy threshold is met.
Directory signals are public profile activity and public listing status, not family inquiries.

Variables

Small counts are suppressed to protect privacy. Do not estimate suppressed values or combine them with private lists.

state_code

US jurisdiction postal abbreviation.

operations_row_type

Aggregate lane for the row: state_summary, directory_listing, or review_desk_package.

billing_guide_status

DoulaPaid state billing-guide status.

public_roster_availability

Whether public directory/listing source rows are observed for the state.

directory_listing_count

Suppressed aggregate count of non-archived public listings.

directory_listing_source_status

Listing source and status group used for the aggregate row.

claimed_listing_count

Suppressed aggregate count of listings claimed through DoulaPaid profile infrastructure.

provider_readiness_completion_category

Coarse average completion category from readiness trackers that exclude patient and claim details.

payer_lane_complexity_category

Fee-for-service and managed-care category based on official coverage sources.

monitored_source_change_count

Suppressed aggregate count of public source-monitoring change events.

review_desk_service

Review Desk service, blank when no service group was recorded.

review_desk_order_count

Suppressed aggregate count of Review Desk orders by service and state.

suppression_note

Small-cell suppression note for any row with hidden counts.

Limitations

This is not a provider performance report and does not measure client outcomes, claim success, private payer communications, or family demand. Public roster availability depends on state publication practices and source-monitoring coverage.

Sample rows

AL

state_summary
Billing guide
not_loaded
Roster
not_observed
Directory
state_summary
Listings
0
Claimed
0
Readiness
not_observed
Billing route
not_documented
Changes
0
Review service
Orders
0

AK

state_summary
Billing guide
not_loaded
Roster
not_observed
Directory
state_summary
Listings
0
Claimed
0
Readiness
not_observed
Billing route
not_documented
Changes
0
Review service
Orders
0

AZ

state_summary
Billing guide
active
Roster
not_observed
Directory
state_summary
Listings
0
Claimed
0
Readiness
not_observed
Billing route
multi_lane
Changes
0
Review service
Orders
0

AR

state_summary
Billing guide
not_loaded
Roster
not_observed
Directory
state_summary
Listings
0
Claimed
0
Readiness
not_observed
Billing route
not_documented
Changes
0
Review service
Orders
0

CA

state_summary
Billing guide
active
Roster
observed
Directory
state_summary
Listings
0
Claimed
0
Readiness
not_observed
Billing route
multi_lane
Changes
0
Review service
Orders
0

CA

directory_listing
Billing guide
active
Roster
observed
Directory
public_source:published
Listings
suppressed
Claimed
0
Readiness
not_observed
Billing route
multi_lane
Changes
0
Review service
Orders
0

CO

state_summary
Billing guide
not_loaded
Roster
not_observed
Directory
state_summary
Listings
0
Claimed
0
Readiness
not_observed
Billing route
not_documented
Changes
0
Review service
Orders
0

CT

state_summary
Billing guide
active
Roster
not_observed
Directory
state_summary
Listings
0
Claimed
0
Readiness
not_observed
Billing route
multi_lane
Changes
0
Review service
Orders
0

DE

state_summary
Billing guide
not_loaded
Roster
not_observed
Directory
state_summary
Listings
0
Claimed
0
Readiness
not_observed
Billing route
not_documented
Changes
0
Review service
Orders
0

DC

state_summary
Billing guide
active
Roster
not_observed
Directory
state_summary
Listings
0
Claimed
0
Readiness
not_observed
Billing route
multi_lane
Changes
0
Review service
Orders
0

FL

state_summary
Billing guide
not_loaded
Roster
not_observed
Directory
state_summary
Listings
0
Claimed
0
Readiness
not_observed
Billing route
not_documented
Changes
0
Review service
Orders
0

GA

state_summary
Billing guide
not_loaded
Roster
not_observed
Directory
state_summary
Listings
0
Claimed
0
Readiness
not_observed
Billing route
not_documented
Changes
0
Review service
Orders
0