Louisiana billing rules 2026.06.13-current
Louisiana Medicaid doula billing rules
Check Louisiana rates, codes, setup steps, visit-note basics, and denial risks before claim entry.
Quick path
Start with the step you need.
- 1Find the rule for your stateStart with the state where the client has Medicaid coverage.Choose your state
- 2Check what is missingReview setup, visit notes, codes, and payer steps before billing.Use the checklist
- 3Save the checklistDownload the checklist, then keep client details in your own secure records.Open checklist
Louisiana Medicaid doula billing rules
Louisiana uses per-visit service lines such as Pre/postnatal nurse advocacy visit, as medically necessary at $35.41, with modifiers, caps, and documentation checks to confirm before claim entry.
Recently updated
Updated Jun 13, 2026Official fee scheduleRates are backed by official published fee-schedule or rate evidence in the source packet.
- Checked Louisiana Department of Health / Louisiana Medicaid: Louisiana Medicaid Professional Services Provider Manual.
- Checked Louisiana Department of Health / Gainwell: Louisiana Medicaid Professional Services Fee Schedule.
- Checked Louisiana Department of Health: Louisiana Medicaid Doula Provider Enrollment Notice.
Paid by visit
Pre/postnatal nurse advocacy visit, as medically necessary: $35.41
Prenatal/postpartum doula visit, part of the eight-visit pool: $69.69
Attendance at labor and delivery by doula: $459
Birthing class, per session, part of the eight-visit pool: $40.80
Lactation class, per session, part of the eight-visit pool: $40.80
Parenting class, per session, part of the eight-visit pool: $40.80
Prior authorization is needed after 8 sessions.
What to check before billing
- Verify Louisiana Medicaid eligibility and the correct FFS or Healthy Louisiana MCO submission path before billing.
- Document the qualified doula's Louisiana Doula Registry Board status and Louisiana Medicaid enrollment.
- Track S9445, S9442, S9443, and S9444 together because Louisiana counts those starred services toward eight total allowable visits, not including delivery.
- Bill 99199 for one attendance at labor and delivery per pregnancy and document continuous in-person labor/delivery support.
This page is built from checked state billing sources.
Use nicknames on public pages.
Keep client names, IDs, claim numbers, and visit notes in your own records.
Provider setup
These state tools are available for planning. Confirm payer requirements before billing.
Launch status
active
Active: guide and tools are ready for general planning.
Billing portal
Louisiana Medicaid / lamedicaid.com
- Confirm Louisiana Medicaid / lamedicaid.com access and provider enrollment before first-claim work.
- Keep Louisiana Medicaid provider ID in your own secure records.
- Keep Louisiana Medicaid member ID, names, dates of birth, and visit notes out of public pages.
Payout estimator
Model common claim totals from verified published rates. Keep client-specific details in your own secure records.
Planning estimator
Estimate a claim total
Use published rates to model Louisiana services before claim entry. Do not enter client names, IDs, dates of birth, or visit notes here.
Estimated total
$459.00
Final payment still depends on eligibility, payer edits, documentation, and claim review.
State tools
Choose the question you need help with now.
Provider setup checklist
Enrollment and provider details checklist.
Claim checklist worksheet
Download a plain text checklist.
Check missing items
Find setup, eligibility, rate, and note gaps.
Rate reference
See how this state pays.
Prior authorization
Check whether approval is needed.
Check visit-note requirements
See what the note must support.
Fix denied claims
State-specific denial reasons.
Denied claim help
Review common denial reasons and the next step to check.
Louisiana eight-visit pool exceeded
Check already billed visits before submitting another S9445, S9442, S9443, or S9444 line.
Delivery attendance billed more than once
Confirm whether a 99199 labor and delivery line has already been billed for this pregnancy.
Registry or Medicaid enrollment not documented
Confirm registry and provider enrollment before submission.
Common questions
Plain answers about Louisiana Medicaid doula billing.
Does Louisiana Medicaid cover doula services?
Yes. Louisiana Medicaid doula services covers doula services. Coverage still depends on active eligibility, the service date, provider setup, and visit notes.
How much does Louisiana Medicaid pay doulas?
Louisiana pays per visit — Pre/postnatal nurse advocacy visit, as medically necessary: $35.41; Prenatal/postpartum doula visit, part of the eight-visit pool: $69.69; Attendance at labor and delivery by doula: $459; Birthing class, per session, part of the eight-visit pool: $40.80; Lactation class, per session, part of the eight-visit pool: $40.80; Parenting class, per session, part of the eight-visit pool: $40.80. Use the Louisiana rate reference to check current amounts against official sources.
What should my Louisiana visit note include?
Louisiana lists 4 visit-note checks to review before claim entry, starting with: Verify Louisiana Medicaid eligibility and the correct FFS or Healthy Louisiana MCO submission path before billing.. See the Louisiana visit-note checklist for the full list.
Why do Louisiana doula Medicaid claims get denied?
Common reasons include louisiana eight-visit pool exceeded; delivery attendance billed more than once; registry or medicaid enrollment not documented. The Louisiana denied-claim guide lists the next step for each.
Rule change alerts
Get a no-PHI email when Louisiana doula billing rules change or new verified sources are added.
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Official sources
Check these official sources before billing.
Source review
Source review currentLouisiana sources on this page were last checked Jun 17, 2026. Use the linked payer sources as the source of truth before billing.
These payer links were checked within the last 90 days.
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