Rhode Island denied-claim help
Rhode Island visit limit reached
RI allows 3 prenatal, 1 labor/delivery, and 3 postnatal visits (up to 7 postnatal with rollover) under a $1,500 per-pregnancy maximum.
Denial guidance uses state billing sources.
Next actions avoid reimbursement guarantees.
Source trail remains visible for review.
Start here
Short answer
RI allows 3 prenatal, 1 labor/delivery, and 3 postnatal visits (up to 7 postnatal with rollover) under a $1,500 per-pregnancy maximum.
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
Rhode Island visit limit reached
RI allows 3 prenatal, 1 labor/delivery, and 3 postnatal visits (up to 7 postnatal with rollover) under a $1,500 per-pregnancy maximum.
Next action
Confirm visit counts; for members under 21, attach prior authorization for additional visits.
Back to Rhode Island rulesWhy this page exists
Denial pages use the same checked state sources as the app.
RI Medicaid Doula Services Manual V1.3Rhode Island EOHHS / Medicaid · Version 1.3, March 2026; procedure codes and rates unchanged from V1.2 (S9445 / 59510 / 59400 / S9446) · checked 2026-06-15EOHHS Doula Services provider pageRhode Island EOHHS · Enrollment via RI Medicaid Healthcare Portal, taxonomy 374J00000X, RICB certificate + W-9 requirements · checked 2026-06-15