Oregon ruleset 2026.06.10-draft

Oregon Medicaid doula billing rules

Oregon Medicaid doula billing uses a $1,505 global fee model.

Rules are versioned and source-backed.

Payment shape is encoded as data.

Denial pages are generated from the same ruleset.

Oregon Medicaid doula billing uses a $1,505 global fee model.

Global fee model

$1,505 global package with 2 prenatal visits, 2 postpartum visits, and labor/delivery support.

Submission safeguards

Track whether the global package is complete before billing the global line.
If the global package is not complete, itemize partial support and delivery-only services.
Do not send PHI to any LLM content or research workflow.

This page is generated from a versioned ruleset, so new state pages can reuse the same structure after source review.

Free state tools

Public tools stay no-PHI and point doulas toward the private workspace only when client details are needed.

Provider setup

Enrollment and billing identity checklist.

Claim checker

No-PHI readiness preflight.

Rate calculator

Payment model explainer.

Documentation checklist

Visit note requirements review.

Every state ruleset can publish denial-specific long-tail pages from source-backed data.

Global package not complete

Use itemized partial service lines or complete the missing visit documentation.

Global package billed more than once

Check prior claims before creating a new global packet.

Missing place of service

Add place of service to the packet before submission.

Published rules must stay attached to payer or policy sources.