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.
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.
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.
Source context
National sources show why billing operations require more than benefit authorization.
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
| State | Row type | Billing guide | Roster | Directory source/status | Listings | Claimed | Readiness | Billing route | Changes | Review service | Review orders |
|---|---|---|---|---|---|---|---|---|---|---|---|
| AL | state_summary | not_loaded | not_observed | state_summary | 0 | 0 | not_observed | not_documented | 0 | 0 | |
| AK | state_summary | not_loaded | not_observed | state_summary | 0 | 0 | not_observed | not_documented | 0 | 0 | |
| AZ | state_summary | active | not_observed | state_summary | 0 | 0 | not_observed | multi_lane | 0 | 0 | |
| AR | state_summary | not_loaded | not_observed | state_summary | 0 | 0 | not_observed | not_documented | 0 | 0 | |
| CA | state_summary | active | observed | state_summary | 0 | 0 | not_observed | multi_lane | 0 | 0 | |
| CA | directory_listing | active | observed | public_source:published | suppressed | 0 | not_observed | multi_lane | 0 | 0 | |
| CO | state_summary | not_loaded | not_observed | state_summary | 0 | 0 | not_observed | not_documented | 0 | 0 | |
| CT | state_summary | active | not_observed | state_summary | 0 | 0 | not_observed | multi_lane | 0 | 0 | |
| DE | state_summary | not_loaded | not_observed | state_summary | 0 | 0 | not_observed | not_documented | 0 | 0 | |
| DC | state_summary | active | not_observed | state_summary | 0 | 0 | not_observed | multi_lane | 0 | 0 | |
| FL | state_summary | not_loaded | not_observed | state_summary | 0 | 0 | not_observed | not_documented | 0 | 0 | |
| GA | state_summary | not_loaded | not_observed | state_summary | 0 | 0 | not_observed | not_documented | 0 | 0 |