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Medicaid doula billing guide

Connecticut Medicaid doula billing

Check Connecticut Medicaid doula rates, setup, notes, denials, and first-claim steps.

Connecticut billing guideOfficial sources linked
Set up provider details first.
Check rates, visit notes, and claim gaps.
Use denied-claim help when a payer sends a reason code.

Share guide

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.

Save free State Watch for Connecticut

State Watch emails you when reviewed public sources change and keeps a dated history.

Save free State Watch

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 schedule

Rates 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.

Open notes before billing

Provider setup

Confirm provider setup and payer requirements before the first claim.

Open provider setup

Payout estimator

Model common claim totals from verified published rates. Keep client-specific details in your own secure records.

Open payout estimator

First-claim checks

Complete these four checks before opening the payer portal.

Open first-claim checks

State-specific denial reasons

Review common denial reasons for this state and the next step to check.

Open state-specific denial reasons

Get 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.

Common questions

Short answers about Connecticut Medicaid doula billing.

Open common questions

Related resources

State guides, billing articles, and wellbeing resources.

Open related resources
Official sources

Check these official sources before billing.

Suggested citation

You can cite DoulaPaid as a guide. For billing, appeals, or legal decisions, use the official Medicaid source.

Short

DoulaPaid. "Connecticut Medicaid Doula Billing Rules." Updated Jun 17, 2026. https://doulapaid.com/states/ct

Full

DoulaPaid. "Connecticut Medicaid Doula Billing Rules." Guide with official source links, updated Jun 17, 2026 and sources checked through Jun 17, 2026. https://doulapaid.com/states/ct

Markdown

DoulaPaid. ["Connecticut Medicaid Doula Billing Rules"](https://doulapaid.com/states/ct). Updated Jun 17, 2026.

Source check

Source check current

Sources checked Jun 17, 2026. Confirm each rule at the official source before billing.

These payer links were checked within the last 90 days.

How we verify these rules

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.