Missouri billing rules 2026.06.18-current

Missouri Medicaid doula billing rules

Missouri Medicaid doula billing uses per-visit rates starting at $75.

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Rules are tied to payer sources.

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Denial pages use the same state billing sources.

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Short answer

Missouri Medicaid doula billing uses per-visit rates starting at $75.

Next step

Find the rule for your stateStart with the state where the client has Medicaid coverage.Choose a state Check what is neededUse the checklist to sort setup, visit notes, codes, and payer details.Open checklist Keep client work privateUse planning tools without client identifiers. Keep private details in approved records.Open worksheet

Missouri Medicaid doula billing rules

Missouri Medicaid doula billing uses per-visit rates starting at $75.

Per-visit model

Prenatal support session, 60 minutes or more: $75 with modifier TH

Postpartum support session, 60 minutes or more: $75 with modifier TS

Attendance at labor and delivery, up to 24 hours: $800

What to check before billing

MO HealthNet doula services require a physician or other licensed practitioner recommendation.
Support sessions are limited to six combined prenatal and postpartum sessions.
T1033 is the usual birth-attendance code for up to 24 hours.

This page is built from checked state billing sources.

Public tools are for general checks. Keep client details in your own records.

Launch status and setup

Missouri is marked active. Check setup before claim work.

Launch status

active

Active: state tools are ready for general planning.

Billing portal

eMOMED; FFS and managed care pathways

Confirm eMOMED; FFS and managed care pathways access and provider enrollment before packet work.
Keep MO HealthNet provider ID / NPI in private records only.
Never enter MO HealthNet participant DCN, names, dates of birth, or visit notes into public tools.

Free state tools

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Provider setup

Enrollment and billing profile checklist.

Packet worksheet

Plan the packet.

Claim checker

Packet review checklist.

Rate calculator

Payment model explainer.

Visit note checklist

Visit note checklist.

Denial pages

State-specific denial reasons.

Denied claim help

Review common denial reasons and the next step to check.

Read the Missouri denial reasons guide

Missing recommendation

Obtain and retain the recommendation letter before billing.

Common questions

Plain answers about Missouri Medicaid doula billing.

Does Missouri Medicaid cover doula services?

Yes. MO HealthNet doula services covers doula services. Coverage still depends on the client's active eligibility, the service date, provider setup, and documentation.

How much does Missouri Medicaid pay doulas?

Missouri pays per visit — Prenatal support session, 60 minutes or more: $75; Postpartum support session, 60 minutes or more: $75; Attendance at labor and delivery, up to 24 hours: $800. Use the Missouri rate calculator to check current amounts against official sources.

What documentation does Missouri require for doula claims?

Missouri expects 3 visit-note items before a packet is ready, including: MO HealthNet doula services require a physician or other licensed practitioner recommendation. See the Missouri visit-note checklist for the full list.