Preparing public guide.
Virginia health plan
Anthem HealthKeepers Plus doula billing in Virginia
Start with the health plan provider page, then confirm the state doula ruleset before claim entry or payer follow-up.
Cardinal Care managed care plans is a plan list source checked 2026-06-18.
Confirm the member's plan in a private eligibility workflow.
Keep member IDs, claim numbers, and dates of birth out of public pages.
Plan links to check
Virginia lists five managed care plans as of July 1, 2025.
Official sources
Virginia DMAS Cardinal Care providersChecked 2026-06-18Virginia DMAS Procedure Fee Files & CPT CodesVirginia Department of Medical Assistance Services · Procedure fee files updated June 11, 2026; DOULA rows: 99600/59425/59430 at $14.99 per 15-minute unit, 59409/59514 at $350, 99199 incentive at $50 · checked 2026-06-13Virginia DMAS Community Doula ProgramVirginia Department of Medical Assistance Services · Provider certification, NPI, Medicaid enrollment, liability insurance, MCO contracting, licensed-practitioner recommendation, no prior authorization, eligibility, and training resources · checked 2026-06-13DMAS Bulletin: Maternal Health Bills and Budget Items Effective July 1, 2025Virginia Department of Medical Assistance Services · Postpartum doula visits increased 4 to 6, coverage window extended to 12 months postpartum, and 59430-HD with diagnosis Z32.2 identified · checked 2026-06-13Virginia SPA 21-013 Doula ServicesVirginia Department of Medical Assistance Services / CMS · State plan authority for doula benefit, visit-unit structure, incentives, and published fee-schedule method · checked 2026-06-13