Colorado billing rules 2026.06.18-current

Colorado Medicaid doula billing rules

Colorado Medicaid doula billing uses per-visit rates starting at $25.

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Rules are tied to payer sources.

Free tools avoid client details.

Denial pages use the same state billing sources.

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Short answer

Colorado Medicaid doula billing uses per-visit rates starting at $25.

Next step

Find the rule for your stateStart with the state where the client has Medicaid coverage.Choose a state Check what is neededUse the checklist to sort setup, visit notes, codes, and payer details.Open checklist Keep client work privateUse planning tools without client identifiers. Keep private details in approved records.Open worksheet

Colorado Medicaid doula billing rules

Colorado Medicaid doula billing uses per-visit rates starting at $25.

Per-visit model

Prenatal doula services (per 15 minutes): $25

Postpartum doula services (per 15 minutes): $25

Labor and delivery doula services (per delivery): $900

What to check before billing

Bill T1032 in 15-minute units for prenatal and postpartum direct member contact.
Colorado covers 12 T1032 units for prenatal services and 12 T1032 units for postpartum services per member pregnancy.
T1033 labor and delivery cannot be telemedicine.

This page is built from checked state billing sources.

Public tools are for general checks. Keep client details in your own records.

Launch status and setup

Colorado is marked active. Check setup before claim work.

Launch status

active

Active: state tools are ready for general planning.

Billing portal

Health First Colorado provider portal; FFS and managed care pathways

Confirm Health First Colorado provider portal; FFS and managed care pathways access and provider enrollment before packet work.
Keep Health First Colorado provider ID / NPI in private records only.
Never enter Health First Colorado member ID, names, dates of birth, or visit notes into public tools.

Free state tools

Pick the tool that matches the question you have now.

Provider setup

Enrollment and billing profile checklist.

Packet worksheet

Plan the packet.

Claim checker

Packet review checklist.

Rate calculator

Payment model explainer.

Visit note checklist

Visit note checklist.

Denial pages

State-specific denial reasons.

Denied claim help

Review common denial reasons and the next step to check.

Read the Colorado denial reasons guide

Prenatal timed-unit cap exceeded

Recount prenatal timed units before billing.

Common questions

Plain answers about Colorado Medicaid doula billing.

Does Colorado Medicaid cover doula services?

Yes. Health First Colorado doula benefit covers doula services. Coverage still depends on the client's active eligibility, the service date, provider setup, and documentation.

How much does Colorado Medicaid pay doulas?

Colorado pays per visit — Prenatal doula services (per 15 minutes): $25; Postpartum doula services (per 15 minutes): $25; Labor and delivery doula services (per delivery): $900. Use the Colorado rate calculator to check current amounts against official sources.

What documentation does Colorado require for doula claims?

Colorado expects 3 visit-note items before a packet is ready, including: Bill T1032 in 15-minute units for prenatal and postpartum direct member contact. See the Colorado visit-note checklist for the full list.