District of Columbia denial decoder
DC rates not verified
DoulaPaid cannot create a DC Medicaid claim packet until DHCF code and rate sources are verified.
Denial guidance is generated from the state ruleset.
Next actions avoid reimbursement guarantees.
Source trail remains visible for review.
DC rates not verified
DoulaPaid cannot create a DC Medicaid claim packet until DHCF code and rate sources are verified.
Next action
Verify official DC Medicaid doula billing instructions, then replace the pending service line with source-backed rates.
Back to District of Columbia rulesWhy this page exists
Denial pages are generated from the same versioned ruleset used by the app workflow.
DC Medicaid Provider ResourcesDC Department of Health Care Finance · Current Medicaid resources · checked 2026-06-11DHCF Transmittal 24-34: CY 2025 Medicaid Doula Service RatesDC Department of Health Care Finance · CY2025: 99600+HD perinatal visit $105.05; 59400/59514/59612+HD delivery support $742.92; 99199+HD postpartum 15-min $13.13; 99199+HD+U8 incentive $100; 3.5% annual updates per SPA approved Sept 28, 2022. See Transmittal 25-36 for CY2026 rates before encoding · checked 2026-06-11DHCF Transmittal 22-34: Doula Benefit, Provider Qualifications, Rates and Reimbursement StandardsDC Department of Health Care Finance · Founding benefit transmittal · checked 2026-06-11