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Medicaid doula enrollment, state by state

As of March 2026, NASHP counted 26 states and Washington, DC with statewide Medicaid doula coverage. Florida also offers doula services through participating Medicaid managed-care plans. We include Florida, so this directory covers 28 active programs. See NASHP's tracker. Each program has its own rules. You may need state certification, a National Provider Identifier (NPI), Medicaid enrollment, and contracts with one or more health plans. We explain those steps in plain language and link to the official rules and payment schedules we used.

About the NPI: If you plan to enroll and bill as an individual doula, you will generally need a free Type 1 National Provider Identifier. Apply through NPPES and select the Doula taxonomy code, 374J00000X. CMS estimates that the online application takes about 20 minutes. An NPI identifies you; it does not enroll or credential you with Medicaid or a health plan. Apply through the free NPPES portal.

Compare published Medicaid doula rates →

See how 28 active programs structure payment, whether health-plan contracts are required, and whether an experience pathway is available.

Active program guides

Programs approved but not yet open

These states have authorized Medicaid doula coverage but are not yet paying doula claims. Launch dates can move. We list the latest confirmed milestone and any steps that are safe to complete now.

States exploring coverage

These states have taken steps related to doula certification or Medicaid policy, but neither had enacted a statewide Medicaid doula benefit when we last checked.

A few terms you will see

Fee-for-service
The state Medicaid program processes and pays an enrolled provider's claim directly.
Managed care
A health plan administers Medicaid benefits for its members. The plan may require its own credentialing and contract after state enrollment.
Prior authorization
Medicaid or the health plan must approve a service before it will pay the claim. Standard services do not always require it; extra visits sometimes do.

How we review these guides

We start with state Medicaid manuals, fee schedules, provider bulletins, and enrollment pages. Research and reporting help us describe implementation problems, and we label those sources. Rules can change between reviews, so open the current provider manual and payment schedule before you apply or bill.

Found an error? Email hello@junie.app.

This is general educational information, not legal, billing, or enrollment advice. Rules and rates can change between reviews. Confirm the current provider manual, payment schedule, and health-plan contract before you apply or bill. Junie can create a payment receipt labeled as a superbill, but the current output derives its dates and descriptions from payment records and must be checked against the recipient's requirements. A superbill is not a Medicaid claim. Junie does not currently enroll providers in Medicaid or submit Medicaid claims.

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