How to enroll as a Medicaid doula in Colorado
Health First Colorado (HCPF) · coverage since July 1, 2024 · last checked July 25, 2026
Health First Colorado has covered doula services since July 1, 2024. The standard limits allow up to $1,500 per pregnancy: $300 of prenatal care, $300 of postpartum care, and $900 for labor and delivery. You can qualify through approved training plus birth experience or through the documented-experience pathway. A licensed practitioner must recommend the service, but doulas bill the state fee-for-service, so no separate plan credentialing is required.
What Medicaid pays
Up to $1,500 per pregnancy ($300 prenatal + $300 postpartum + $900 birth)
- T1032 at $25.00 per 15-minute unit, up to 12 units (180 minutes) prenatal and 12 units postpartum per member per 12 months
- T1033 labor & delivery at a flat $900, once per 12 months, regardless of labor length
- Confirm both codes in the current HCPF Doula Billing Manual before billing
Up to 180 minutes of prenatal support and 180 minutes of postpartum support (billed in 15-minute units) plus labor & delivery attendance, per member per 12 months.
Who can apply
- 18 or older and one of two pathways: complete an HCPF-approved training and attend at least 3 births within the past 5 years, or attest to 10 births attended as a doula, including 5 within the past 2 years, plus 4 letters of recommendation (2 clinical and 2 from past clients)
- Current CPR certification and agreement to the Doula Code of Conduct
- Fingerprint background check as part of Medicaid enrollment
How to enroll
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Step 1
Complete an approved training, or document your experience
If you use the experience pathway, prepare the 10-birth attestation and four required recommendation letters.
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Step 2
Get your free Type 1 NPI with the right taxonomy
NPPES, taxonomy 374J00000X. HCPF rejects applications whose taxonomy doesn't match the NPI.
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Step 3
Enroll via the Colorado Provider Enrollment Portal
Apply as provider type 79 (Doula), either as a Billing Individual under your SSN or as an Individual Within Group. Review time depends on whether the state needs corrections or additional documents.
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Step 4
Get the member's practitioner recommendation, then bill the state
A licensed practitioner must recommend doula services, and the claim must identify an actively enrolled referring provider. Submit the claim through the Health First Colorado fiscal agent's portal. No RAE or separate plan credentialing is required.
How you get paid
Colorado bills the doula benefit fee-for-service even though the broader Medicaid program uses Regional Accountable Entities. Doulas enroll once and bill the state rather than contracting with each entity. Claims must include the actively enrolled practitioner who recommended the service.
What to plan for
Colorado avoids separate health-plan contracts, but each claim still needs the recommending practitioner's enrolled provider information. Confirm that detail before the first visit and keep the recommendation with the member's record.
Where to get help
- HCPF doulas page (enrollment quick guide, approved trainings list, FAQs, and open office hours)
- HCPF Doula Billing Manual (the authoritative codes-and-rates reference)
- HCPF doula provider attestation (the qualification pathways and documents required at enrollment)
Sources and last checked
We checked these details on July 25, 2026.
- HCPF Doula Billing Manual
- HCPF doula provider attestation
- Health First Colorado doula rules (10 CCR 2505-10 §8.700)
- HCPF provider-type enrollment guide
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. Found an error? Email hello@junie.app.