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
- Arizona AHCCCS (Arizona Medicaid) · $16.28 per 15-minute visit unit plus $781.32 for labor and delivery Last checked Jul 25, 2026
- California Medi-Cal · $3,152.65 for the cited vaginal-birth package; $3,263.31 for the cesarean package Last checked Jul 25, 2026
- Colorado Health First Colorado (HCPF) · Up to $1,500 per pregnancy ($300 prenatal + $300 postpartum + $900 birth) Last checked Jul 25, 2026
- Connecticut HUSKY Health (CT Medicaid) · $1,200 standard FFS package (4 visits × $100 + $800 birth) Last checked Jul 25, 2026
- Delaware Delaware Medicaid (DMAP, MCO-delivered) · AmeriHealth example: about $1,147 for 6 visits, birth, and the incentive Last checked Jul 25, 2026
- Florida Statewide Medicaid Managed Care (expanded benefit) · Payment varies by health plan and network contract Last checked Jul 25, 2026
- Illinois Illinois Medicaid (HFS) · $720 for birth; $15 per 15 minutes for individual prenatal/postpartum care Last checked Jul 25, 2026
- Kansas KanCare (Kansas Medicaid) · $1,295 for the full prenatal, postpartum, and birth benefit Last checked Jul 25, 2026
- Louisiana Louisiana Medicaid (Healthy Louisiana) · $1,016.52 for 8 visits and birth at current Medicaid FFS rates Last checked Jul 25, 2026
- Maryland Maryland Medicaid (MDH) · $1,331.84–$1,427.84 for 8 one-hour visits plus labor and delivery, depending on visit mix Last checked Jul 25, 2026
- Massachusetts MassHealth · $1,700 standard package without prior authorization Last checked Jul 25, 2026
- Michigan Michigan Medicaid (MDHHS Doula Initiative) · $2,700 standard package; $3,300 with 6 prior-approved additional visits Last checked Jul 25, 2026
- Minnesota Minnesota Health Care Programs (MHCP) · $3,100 for labor and delivery plus 17 other sessions without prior authorization Last checked Jul 25, 2026
- Missouri MO HealthNet · $1,600 for the current standard package; additional visits begin August 28, 2026 Last checked Jul 25, 2026
- Nevada Nevada Medicaid (Provider Type 90) · Up to $1,500 urban / $1,650 rural per pregnancy (6 visits + delivery) Last checked Jul 25, 2026
- New Jersey NJ FamilyCare · Up to $1,165 standard / $1,431 enhanced, + $100 postpartum incentive Last checked Jul 25, 2026
- New Mexico New Mexico Medicaid (Turquoise Care) · $25 per 15-minute visit unit plus $1,500 for labor and delivery Last checked Jul 25, 2026
- New York NYS Medicaid · Up to $1,500 per pregnancy in NYC; up to $1,350 rest of state Last checked Jul 25, 2026
- Ohio Ohio Medicaid (Maternal and Infant Support Program) · Up to $1,200 per pregnancy ($600 birth + $600 visit time) Last checked Jul 25, 2026
- Oklahoma SoonerCare (OHCA) · $834.46–$1,033.18 for 8 visits and birth, depending on delivery route Last checked Jul 25, 2026
- Oregon Oregon Health Plan (Traditional Health Worker program) · $1,505 global rate; $2,365 with all 4 additional visits Last checked Jul 25, 2026
- Pennsylvania PA Medical Assistance · $2,200 standard maximum; up to $2,550 with 2 qualifying support services Last checked Jul 25, 2026
- Rhode Island RI Medicaid (EOHHS) · Up to $1,500 per pregnancy (6 visits × $100 + $900 birth) Last checked Jul 25, 2026
- South Dakota South Dakota Medicaid (DSS) · $1,800 per-pregnancy limit, with additional services available by prior authorization Last checked Jul 25, 2026
- Utah Utah Medicaid · Rates set spring 2026. Check Utah's Coverage & Reimbursement Lookup for T1032/T1033 Last checked Jul 25, 2026
- Virginia Virginia Medicaid (DMAS Community Doula Program) · Up to $1,078.92 per episode, including two possible $50 incentives Last checked Jul 25, 2026
- Washington Apple Health (Health Care Authority) · Up to $3,500 per client per pregnancy under the standard benefit Last checked Jul 25, 2026
- Washington, DC DC Medicaid (DHCF) · $107.89 per perinatal visit; $762.98 for delivery; postpartum care at $13.48 per 15 minutes Last checked Jul 25, 2026
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.
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Arkansas August 1, 2026 was the reported target; DHS had not confirmed it as of July 25
Act 965 of 2025 enacted coverage, but Arkansas missed its December 2025 and June 2026 launch deadlines. Community-based doula certification and the NPI application are open now.
Last checked Jul 25, 2026 · Red River Radio: Arkansas launch delayed again (July 14, 2026) · NHeLP Doula Medicaid Project state chart
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Vermont Earliest July 1, 2027 (Act 120 of 2026), contingent on federal approval
Act 50 of 2025 enacted coverage. Act 120 of 2026 moved state certification, the federal state-plan request, and coverage to July 1, 2027. Coverage begins on the later of that date or federal approval. Proposed rates are $100 for up to 12 perinatal visits plus $900 for labor support; they have not been adopted.
Last checked Jul 22, 2026 · Vermont Act 120 (2026), as enacted: the delay · Vermont Act 50 (2025), as enacted · VECAA doula coverage tracker
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Montana Reported for late 2026; doula licensing deadline January 1, 2027
SB 319 of 2025 enacted coverage, and Montana issued doula licensing rules in December 2025. The health department paused implementation in April 2026 because of federal funding uncertainty, then confirmed that work would continue.
Last checked Jul 22, 2026 · Georgetown CCF 2026 state legislative sessions review (July 2, 2026) · NHeLP Doula Medicaid Project state chart
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Maine Planned January 1, 2028
LD 1523 of 2025 enacted coverage. Rate development began in 2026, and the program is planned to start January 1, 2028.
Last checked Jul 22, 2026 · NHeLP Doula Medicaid Project state chart
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Nebraska Required no later than January 1, 2029
LB 958, signed April 17, 2026, enacted coverage. An implementation plan is due January 1, 2027, and coverage must begin no later than January 1, 2029.
Last checked Jul 22, 2026 · NHeLP Doula Medicaid Project state chart
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.
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New Hampshire No announced date
New Hampshire has a voluntary doula certification program but has not enacted statewide Medicaid doula coverage. NHeLP lists the state as in process because it has created certification infrastructure.
Last checked Jul 22, 2026 · NHeLP Doula Medicaid Project state chart
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Tennessee No announced date
Tennessee is working on certification and an advisory committee. A resolution supporting Medicaid doula coverage was introduced in January 2026, but the state has not enacted a coverage mandate.
Last checked Jul 22, 2026 · NHeLP Doula Medicaid Project state chart
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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