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Medicaid doula billing guide
Connecticut Medicaid doula billing
Check Connecticut Medicaid doula rates, setup, notes, denials, and first-claim steps.
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Connecticut Medicaid doula billing guide
Share the resource. Keep client names, Medicaid IDs, claim numbers, service dates, and visit notes out of public links.
Get a provider-readiness review
Receive a written Connecticut setup and claim-readiness plan with official sources. Do not submit patient or claim details.
Get a provider setup review before you bill.
Choose your billing route, provider setup status, service, and code. Keep names, IDs, screenshots, visit notes, and private messages in your own records.
Connecticut Medicaid doula billing rules
Connecticut uses per-visit service lines such as Antepartum or postpartum doula visit at $100, with modifiers, caps, and documentation checks to confirm before claim entry.
Can doulas bill Medicaid in Connecticut?
Yes, when HUSKY Health certified doula services rules, eligibility, setup, and notes support the service.
How does payment work?
Antepartum or postpartum doula visit: $100; Synchronous audio/video antepartum or postpartum doula visit: $100
First thing to check?
Confirm HUSKY Health provider portal access and payer routing.
Biggest risk?
Licensed-practitioner referral missing: Retain the referral or order before submitting the claim.
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State Watch emails you when reviewed public sources change and keeps a dated history.
State Watch alerts and saved changes are free. Written reviews are sold separately. State Watch does not guarantee payment.
Billing availability
Billing guide and tools available.
Paid by visit
Antepartum or postpartum doula visit: $100
Synchronous audio/video antepartum or postpartum doula visit: $100 with modifier 95
In-person attendance at labor and delivery: $800 with modifier HD
Prior authorization is needed after 4 sessions.
Check before billing
- Prior authorization may be needed after 4 sessions.
Recently updated
Updated Jun 17, 2026Official fee scheduleRates come from an official fee schedule or public rate source.
- Checked Connecticut Department of Social Services: CT DSS Provider Bulletin 2025-14: New Coverage of Certified Doulas.
- Checked Connecticut Department of Social Services: CT DSS Provider Bulletin 2025-05: DPH Doula Certification and Enrollment Criteria.
- Checked Connecticut Department of Social Services / HUSKY Health: HUSKY Health Certified Doula Policy.
Rule change alerts
Get an email when Connecticut doula billing rules change or a new official source is reviewed.
We store your email, selected state, email preferences, and consent dates. Do not send client details.
Official sources are linked with each billing rule.
Notes before billing
Check these in groups so you can spot the missing piece faster.
Provider setup
- Retain a handwritten or electronic recommendation, referral, or order from a licensed and enrolled CMAP/HUSKY Health practitioner.
Client and eligibility
- Document the member's name, address, birth date, Medicaid ID, pertinent diagnostic information, signed visit notes, services provided, service dates, location, and referral documentation.
- For telemedicine visits, document that the member requested telemedicine, both parties agreed, the service used synchronized audio/video, and no more than half of total visits are telemedicine.
- Hospitals and FQHCs cannot bill directly for doula services unless the doula/group is separately enrolled as a doula provider path described by DSS.
Rates and claim details
- Track four total antepartum/postpartum visits before prior authorization; additional medically necessary visits require PA before services are rendered.
- Do not bill labor and delivery attendance by telemedicine; CT reimburses that line only for in-person attendance.
Do not enter patient or family data.
Keep names, contact details, Medicaid IDs, birth dates, service dates tied to a person, claim numbers, visit notes, documents, screenshots, and private payer messages in your own approved systems. See what information DoulaPaid accepts.
DoulaPaid does not enroll providers, verify patient eligibility, submit claims, store patient records, guarantee payment, or replace payer instructions.
Provider setup
Confirm provider setup and payer requirements before the first claim.
Open provider setupPayout estimator
Model common claim totals from verified published rates. Keep client-specific details in your own secure records.
Open payout estimatorFirst-claim checks
Complete these four checks before opening the payer portal.
Open first-claim checksState-specific denial reasons
Review common denial reasons for this state and the next step to check.
Open state-specific denial reasonsGet a written denial-code review.
The paid review uses a denial category and public sources. Do not enter a claim, EOB, or payer message.
Check first-claim readiness
Choose the state, service category, codes, modifiers, units, and place of service. Do not enter a claim or patient record.
Included task: Set follow-up
What stays outside DoulaPaid
- Claim submission stays with the payer, portal, group, or biller.
- Client names, Medicaid IDs, claim numbers, and visit notes stay in your secure records.
- Payment is never guaranteed.
- DoulaPaid stores only the provider setup choices you select.
Doula wellbeing
Birth work is heavy. Free, anonymous wellbeing resources are available when you need support.
Save Connecticut updates
Get reviewed source updates or order a written provider-readiness review.