How to enroll as a Medicaid doula in Louisiana
Louisiana Medicaid (Healthy Louisiana) · coverage since January 2026 (Medicaid); private-insurance mandate since January 2025 · last checked July 25, 2026
Louisiana managed care plans began covering doula services on January 1, 2026, followed by fee-for-service Medicaid on January 20. Medicaid covers five prenatal visits, three postpartum visits, and birth attendance. At the current fee-for-service rates, all eight visits plus birth total $1,016.52. Registry approval and Medicaid enrollment come first, then each of the five Healthy Louisiana plans has its own contracting process.
What Medicaid pays
$1,016.52 for 8 visits and birth at current Medicaid FFS rates
- Labor and delivery attendance (99199): $459 once per pregnancy
- Prenatal and postpartum visit (S9445): $69.69 each. Five prenatal and three postpartum visits total $557.52; adding birth attendance brings the fee-for-service total to $1,016.52
- Managed-care plans may set their own rates. Confirm payment amounts in each plan contract before billing
Five prenatal visits of up to 90 minutes each, three postpartum visits of up to 90 minutes each, and one labor and birth attendance. The eight visits are not interchangeable between the prenatal and postpartum periods.
Who can apply
- Registered doula status with the Louisiana Doula Registry Board (LDH): application with NPI, education documentation, a certificate from a Board-approved training organization, and either 3 client recommendation letters or proof of serving 3+ clients in the last 5 years
- The Board reviews applications quarterly. Build the wait into your plans
- Registry status is the gateway for both Medicaid and private-insurance reimbursement
How to enroll
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Step 1
Get your free Type 1 NPI
NPPES, taxonomy 374J00000X. The registry application itself asks for it, so do this first.
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Step 2
Join the Louisiana Doula Registry
Board-approved training certificate plus your letters or client history, to DoulaRegistryBoard@la.gov. Reviews happen quarterly.
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Step 3
Enroll with Louisiana Medicaid (paper packet)
The PT-DL Doula Individual packet on lamedicaid.com: PE-50 form with specialty code 1V, provider agreement, EFT authorization, and proof of registry status. Gainwell is the fiscal intermediary.
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Step 4
Credential with each Healthy Louisiana plan
The five plans are Aetna, AmeriHealth Caritas, Healthy Blue, Humana, and Louisiana Healthcare Connections. UnitedHealthcare left Healthy Louisiana on April 1, 2026. Confirm the current plan list and contact each plan you intend to bill.
How you get paid
Aetna, AmeriHealth Caritas, Healthy Blue, Humana, and Louisiana Healthcare Connections each use their own contracting and billing process. UnitedHealthcare left Healthy Louisiana on April 1, 2026. Confirm the member's current plan before applying or billing.
What to plan for
The registry board reviews applications quarterly, Medicaid enrollment uses a paper packet, and every managed care plan has its own contract. Keep copies of the registry, enrollment, and plan documents you submit.
Where to get help
- Louisiana Doula Registry (LDH) (registry requirements, approved trainings, and the board-approved doula list)
- Louisiana Medicaid provider enrollment (the PT-DL doula enrollment packet and fee schedules)
- Birthmark Doula Collective (the New Orleans collective that led the five-year Medicaid coverage campaign)
Sources and last checked
We checked these details on July 25, 2026.
- LDH: Doula Provider Enrollment Packet announcement (Dec 19, 2025)
- Act 228 of 2025 (HB 454), Medicaid doula coverage
- Louisiana Medicaid State Plan, doula services
- Louisiana Medicaid fee schedules
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.