District of Columbia denial decoder
Doula visit limit reached
DC Medicaid limits doula services to 12 visits across the perinatal and postpartum period unless prior authorization supports more.
Denial guidance uses state billing sources.
Next actions avoid reimbursement guarantees.
Source trail remains visible for review.
Doula visit limit reached
DC Medicaid limits doula services to 12 visits across the perinatal and postpartum period unless prior authorization supports more.
Next action
Review prior billed visits and add prior authorization documentation before creating another claim line.
Back to District of Columbia rulesWhy this page exists
Denial pages use the same checked state sources as the app.
DHCF Transmittal 25-36: Medicaid Doula Services Rate Change Effective January 1, 2026DC Department of Health Care Finance · CY2026 rates effective January 1, 2026 through December 31, 2026 · checked 2026-06-13DHCF Transmittal 25-36 PDFDC Department of Health Care Finance · Rate table for 99600 HD, 59400 HD, 59514 HD, 59612 HD, 99199 HD, and 99199 HD U8 · checked 2026-06-13DHCF Transmittal 22-34: Doula Benefit, Provider Qualifications, Rates and Reimbursement StandardsDC Department of Health Care Finance · Enrollment, provider qualification, visit limit, billing, and documentation standards effective October 1, 2022 · checked 2026-06-13