How to enroll as a Medicaid doula in Delaware
Delaware Medicaid (DMAP, MCO-delivered) · coverage since January 1, 2024 · last checked July 25, 2026
Delaware Medicaid has covered doula services through its managed care plans since January 1, 2024. AmeriHealth Caritas Delaware publishes $477 for birth attendance, $15.83 per 15-minute visit unit, and a $100 incentive for completing the standard visit set; other plan contracts may differ. Enrollment requires Delaware Certification Board certification, MCO-only registration with DMAP, and contracts with the plans you intend to bill.
What Medicaid pays
AmeriHealth example: about $1,147 for 6 visits, birth, and the incentive
- AmeriHealth Caritas Delaware publishes $15.83 per 15-minute T1032 unit, with no more than 6 units per visit. Six 90-minute visits total $569.88
- AmeriHealth also publishes $477 for labor and birth attendance and a $100 incentive for completing 3 prenatal visits, the birth, and 3 postpartum visits with the same member. That package totals $1,146.88
- Rates and billing instructions are plan-specific. Confirm the amount, code, modifier, and authorization rule in each contract before billing
AmeriHealth's published structure is 1–3 prenatal visits, birth attendance, and up to 3 postpartum visits. The provider may request 5 extra prenatal or postpartum visits within 6 months of delivery, for no more than 8 total visits. Visits may last up to 90 minutes and may be at home or virtual; birth attendance is in person.
Who can apply
- Delaware Certification Board doula certification: 16+ hours of documented training, attendance at 3 births, current adult and infant CPR, HIPAA documentation, a Delaware criminal history report routed to DCB, and $1M/$3M liability insurance
- Recertification every 3 years: $50, 20 CE hours, and one documented birth
- The same DCB credential is required for reimbursement under the private-insurance mandate for plans issued or renewed from January 1, 2026. Confirm network and billing requirements with each plan
How to enroll
-
Step 1
Get DCB-certified
Training, CPR, the criminal-history report (Service Code 27RVGT), and insurance: decertboard.org/doula has the checklist.
-
Step 2
Get your free Type 1 NPI
NPPES, taxonomy 374J00000X. Delaware's MCO instructions name the taxonomy explicitly.
-
Step 3
Complete DMAP 'MCO-Only Registration'
Lighter than full FFS enrollment, because the benefit is delivered by the plans, not the state.
-
Step 4
Contract with the three plans
Apply to AmeriHealth Caritas Delaware, Delaware First Health, and Highmark Health Options as needed. Ask each plan to confirm authorization rules, claims deadlines, and your contract effective date.
How you get paid
The benefit is delivered through AmeriHealth Caritas Delaware, Delaware First Health, and Highmark Health Options. Complete MCO-only DMAP registration, then contract with each plan you intend to bill. Covered visits, payment, and approval processes can differ by plan.
What to plan for
Certification requires training, birth documentation, CPR, a background check, and liability insurance. After DMAP registration, each managed care plan still has its own contract and may use different rates or visit rules.
Where to get help
- Delaware Certification Board, Doula (the required certification and recertification rules)
- DMAP provider portal (MCO-only registration and fee schedules)
- Delaware First Health doula resources (plan-specific billing and enrollment information)
Sources and last checked
We checked these details on July 25, 2026.
- HB 80 (2023), Medicaid doula coverage
- HB 362 / Title 18 ch. 35, private-insurance mandate (from Jan 2026)
- AmeriHealth Caritas Delaware doula payment example
- AmeriHealth Caritas Delaware doula benefit details
- SPA DE-25-0002 (additional postpartum visits)
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.