Pennsylvania denied-claim help
Visit cap exceeded
More than 12 combined prenatal and postpartum visits in a calendar year.
Denial guidance uses state billing sources.
Next actions avoid reimbursement guarantees.
Source trail remains visible for review.
Start here
Short answer
More than 12 combined prenatal and postpartum visits in a calendar year.
Next step
Find the rule for your stateStart with the state where the client has Medicaid coverage.Choose a stateCheck what is neededUse the checklist to sort setup, visit notes, codes, and payer details.Open checklistKeep client work privateUse planning tools without client identifiers. Keep private details in approved records.Open worksheet
Visit cap exceeded
More than 12 combined prenatal and postpartum visits in a calendar year.
Why this page exists
Denial pages use the same checked state sources as the app.
PA MA Bulletin - Coverage of and Payment for Doula Services in the MA ProgramPennsylvania DHS / OMAP · Issued December 23, 2024; effective January 1, 2025; T1032 U7 $100, U8 $100, U9 $175, T1033 $1,000 · checked 2026-06-15PA Certification Board - Perinatal DoulaPennsylvania Certification Board · Certified perinatal doula requirement · checked 2026-06-15