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Virginia health plan
UnitedHealthcare Community Plan doula billing in Virginia
Start with the health plan provider page, then confirm the state doula billing rules 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 payer portal or approved billing system.
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.
Plan provider page
Open UnitedHealthcare Community Plan provider resources for portal, contracting, and claim-routing details.
State billing rules
Check Virginia rates, codes, setup, and source links before billing.
Provider setup
Confirm enrollment, identifiers, portal access, and who submits the first claim.
Official sources
Virginia DMAS Cardinal Care providersChecked 2026-06-18Virginia DMAS CPT Part 3 Medical CSVVirginia Department of Medical Assistance Services · Last-Modified August 20, 2026; DOULA type P rows remain 59409 at $350, 59425 at $14.99 per 15-minute unit, 59430 at $14.99 per 15-minute unit, and 59514 at $350 · checked 2026-08-21Virginia DMAS CPT Part 4 Medical CSVVirginia Department of Medical Assistance Services · Checked August 21, 2026; DOULA type P rows remain 99600 at $14.99 per 15-minute unit and 99199 incentive at $50 · checked 2026-08-21Virginia DMAS Community Doula ProgramVirginia Department of Medical Assistance Services · Provider certification, NPI, Medicaid enrollment, liability insurance, MCO contracting, licensed-practitioner recommendation, standard care boundary, eligibility, and training resources · checked 2026-08-21DMAS 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 2026-08-21CMS-approved Virginia SPA 26-0006Virginia Department of Medical Assistance Services / CMS · Approved August 13, 2026; effective July 1, 2026; four prenatal and six postpartum visits plus birth attendance, with medically necessary additional visits and service authorization beyond the standard prenatal/postpartum limits · checked 2026-08-21Virginia DMAS Practitioner Manual Chapter 5Virginia Department of Medical Assistance Services · Updated November 6, 2025; professional billing and FFS-versus-MCO routing · checked 2026-08-21Virginia DMAS Claims and BillingVirginia Department of Medical Assistance Services · Current fee-for-service claims and billing entry point · checked 2026-08-21Virginia DMAS Cardinal Care five-plan launch announcementVirginia Department of Medical Assistance Services · Published July 1, 2025; stable official roster naming the five current Cardinal Care plans · checked 2026-08-21Virginia Cardinal Care Managed Care FY2027 ContractVirginia Department of Medical Assistance Services · Effective July 1, 2026; current statewide managed-care doula minimum and plan-contracting boundary · checked 2026-08-21
Your next no-PHI step
Turn the Virginia guide into a readiness plan
Complete the free readiness check, preview the exact state sample, then get the automatic $49 Kit. No meeting, upload, or patient information.
Do not enter names, Medicaid IDs, birth dates, claim numbers, or visit notes.