How to enroll as a Medicaid doula in Massachusetts
MassHealth · coverage since December 8, 2023 · last checked July 25, 2026
MassHealth has covered doula services since December 8, 2023. Doula care is a wrap service, so MassHealth pays claims fee-for-service even when a member belongs to a managed care plan. One state enrollment therefore covers all members. The benefit pays $900 for labor and delivery plus up to eight hours of perinatal visits, and enrollment offers formal-training and experience pathways.
What Medicaid pays
$1,700 standard package without prior authorization
- Labor and delivery support (99199) pays $900
- A perinatal visit of up to 60 minutes (99600) pays $100; a visit of 61–90 minutes (99600-TF) pays $150. Visits are limited to 90 minutes per day
- MassHealth pays up to $800 for perinatal visits without prior authorization, for a $1,700 standard package including birth attendance. Additional visits require prior authorization
One labor and delivery service plus up to 8 hours of prenatal or postpartum visits without prior authorization, through 12 months postpartum regardless of pregnancy outcome. A visit may not exceed 90 minutes in one day. Additional visits require prior authorization.
Who can apply
- Formal Training Pathway: proof of doula training or certification plus the EOHHS competency attestation form, or the Experience Pathway for practicing doulas without formal training
- Experience Pathway: recommendations from at least 3 former clients and at least 2 licensed health professionals who observed your care; each recommendation must concern work within the prior 5 years
- The free ~2-hour MassHealth Doula Provider Training (online LMS), certificate submitted with your application
- Free Type 1 NPI; no application fee
- MassHealth's standing recommendation covers all eligible members, so an individual practitioner referral is not required
How to enroll
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Step 1
Get your free Type 1 NPI
NPPES, taxonomy 374J00000X. Group-practice affiliation is supported if you work within one.
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Step 2
Complete the MassHealth Doula Provider Training
A free two-hour online course on the MassHealth LMS. Save the certificate; the application requires it.
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Step 3
Submit the Doula Provider Application (PE-DOULA)
With your pathway documentation: training certificate plus attestation, or the experience-pathway materials.
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Step 4
Bill MassHealth directly for every member
Submit claims through the Provider Online Service Center. The wrap-service structure also covers members in managed care organizations and Accountable Care Partnership Plans, with no separate plan contracts.
How you get paid
MassHealth pays enrolled doulas directly on a fee-for-service basis, including when a member belongs to a managed care plan. Doulas do not need separate plan contracts for this benefit.
What to plan for
The standard package limits prenatal and postpartum care to 8 total hours, with no more than 90 minutes in one day. More visits are possible, but the doula must obtain prior authorization before providing them.
Where to get help
- MassHealth Doula Services Program (application, attestation forms, billing reference guide, FAQ)
- Bay State Birth Coalition (statewide doula advocacy and provider resources)
- DPH Doula Initiative (the separate voluntary state certification (four pathways incl. NY/RI reciprocity))
Sources and last checked
We checked these details on July 25, 2026.
- MassHealth doula program pages & billing reference guide
- 101 CMR 319.00: Rates for Doula Services
- MassHealth Doula Frequently Asked Questions (April 2026)
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.