South Dakota denied-claim help
Per-pregnancy maximum exceeded
South Dakota Medicaid covers up to $1,800 of doula services per pregnancy without prior authorization.
Read the payer denial reason first.
Check the matching source before correcting or appealing.
Keep claim numbers and client details in private records.
Quick path
Start with the step you need.
- 1Find the rule for your stateStart with the state where the client has Medicaid coverage.Choose your state
- 2Check what is missingReview setup, visit notes, codes, and payer steps before billing.Use the checklist
- 3Save the checklistDownload the checklist, then keep client details in your own secure records.Open checklist
Per-pregnancy maximum exceeded
South Dakota Medicaid covers up to $1,800 of doula services per pregnancy without prior authorization.
Next action
Tally prior doula payments and request prior authorization on the General Prior Authorization Form before exceeding $1,800.
Sources for this denial
Denial pages use the same checked state sources as the app.
SD Medicaid Doula Services Billing and Policy ManualSouth Dakota Department of Social Services / SD Medicaid · Updated December 2025; doula benefit effective January 1, 2025; T1032 timed unit, T1033 labor/delivery, $1,800 per-pregnancy cap, referral within 90 days · checked 2026-06-19SD Medicaid Doula Services Fee ScheduleSouth Dakota Department of Social Services / SD Medicaid · Doula Services fee schedule (Current SFY): T1032 $16.87 per 15-minute unit, T1033 $600 per delivery · checked 2026-06-19