Menu
Medicaid doula billing guide
Louisiana Medicaid doula billing
Check Louisiana Medicaid doula rates, setup, notes, denials, and first-claim steps.
Share guide
Louisiana 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 Louisiana setup and claim-readiness plan with official sources. Do not submit patient or claim details.
Check provider readiness for free.
Choose your billing route, provider setup status, service, and code. Keep names, IDs, screenshots, visit notes, and private messages in your own records.
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.
Can doulas bill Medicaid in Louisiana?
Yes, when Louisiana Medicaid doula services rules, eligibility, setup, and notes support the service.
How does payment work?
Pre/postnatal nurse advocacy visit, as medically necessary: $35.41; Prenatal/postpartum doula visit, part of the eight-visit pool: $69.69
First thing to check?
Confirm Louisiana Medicaid / lamedicaid.com access and payer routing.
Biggest risk?
Louisiana eight-visit pool exceeded: Check already billed visits before submitting another S9445, S9442, S9443, or S9444 line.
Save free State Watch for Louisiana
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
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.
Check before billing
- Prior authorization may be needed after 8 sessions.
- Confirm fee-for-service vs managed care routing before billing or follow-up.
Recently updated
Updated Jun 17, 2026Official fee scheduleRates come from an official fee schedule or public rate source.
- 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.
Rule change alerts
Get an email when Louisiana 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.
Client and eligibility
- 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.
- For S9445 visits, document whether the service was prenatal or postpartum, the support provided, and that the visit lasted no more than 90 minutes.
Before billing
- Track S9445, S9442, S9443, and S9444 together because Louisiana counts those starred services toward eight total allowable visits, not including delivery.
Visit notes
- Bill 99199 for one attendance at labor and delivery per pregnancy and document continuous in-person labor/delivery support.
- Document class or advocacy content clearly enough to show the billed service, date, need, resources, referrals, and follow-up.
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 Louisiana updates
Get reviewed source updates or order a written provider-readiness review.