How to enroll as a Medicaid doula in Maryland
Maryland Medicaid (MDH) · coverage since January 1, 2022 · last checked July 25, 2026
Maryland has covered doula services since January 2022. Eight one-hour visits plus labor and delivery pay $1,331.84 to $1,427.84, depending on the mix of prenatal and postpartum visits. Through December 31, 2026, an ePREP-enrolled doula in good standing can serve HealthChoice members without a separate plan contract and must receive at least the fee-for-service rate.
What Medicaid pays
$1,331.84–$1,427.84 for 8 one-hour visits plus labor and delivery, depending on visit mix
- Prenatal visits: T1032 at $16.62 per 15-minute unit, up to 4 units per visit (~$66 per hour-long visit)
- Postpartum visits: T1032-U9 at $19.62 per unit, up to 4 units per visit (~$78 per visit)
- Labor & delivery: T1033 at a flat $800 (since July 2023)
- Eight prenatal visits plus delivery total $1,331.84; eight postpartum visits plus delivery total $1,427.84. A mixed visit set falls between those amounts
Up to 8 visits total (any mix of prenatal and postpartum, billed in 15-minute units, reimbursed up to an hour each) plus one labor & delivery per pregnancy.
Who can apply
- Certification from an MDH-approved organization (the list has grown: DONA, CAPPA, ICEA, Doula Trainings International, International Black Doula Institute, Ancient Song, Mamatoto Village, and more; check the current transmittal)
- 18+, liability insurance (obtained and maintained), and an attestation of a completed federal criminal background check
- No experience-only pathway
How to enroll
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Step 1
Get certified by an MDH-approved organization
The approved list is in the state's provider transmittals and was updated in 2026. Verify your program is current before applying.
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Step 2
Get your free Type 1 NPI
NPPES, taxonomy 374J00000X. A doula group ePREP addendum exists for Type 2 group enrollment.
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Step 3
Enroll in ePREP as provider type DL (Doula)
Use ePREP with the Doula Individual Addendum, which covers the background-check and insurance attestations. Respond promptly if Maryland asks for corrections or additional documents.
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Step 4
Serve any plan's members, no MCO contracts needed (through 2026)
Doula services are self-referred: HealthChoice MCOs must pay enrolled doulas in good standing, and fee-for-service members bill to the state. This arrangement currently runs through December 31, 2026. Watch for its renewal.
How you get paid
Through December 31, 2026, the self-referred benefit allows an ePREP-enrolled doula in good standing to serve HealthChoice members without a separate plan contract. The plan may require notice before services begin, and it must pay at least the Maryland Medicaid fee-for-service rate. Check whether Maryland extends this arrangement before serving clients after that date.
What to plan for
The temporary self-referral rule removes separate plan contracting through December 31, 2026, but a plan may still ask for notice before care. Save the plan's instructions and check for an extension before accepting work that will continue into 2027.
Where to get help
- MDH Medicaid Doula Program (program manual (updated Jan 2026), approved organizations, ePREP addenda)
- Doula Alliance of Maryland (the state's doula advocacy organization; co-author of the Dec 2025 report)
- ePREP portal (where the DL provider application lives)
Sources and last checked
We checked these details on July 25, 2026.
- MDH Doula Program Manual (Jan 13, 2026)
- MDH extension of self-referral requirements through 2026
- Maryland HealthChoice doula regulations
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.