How to enroll as a Medicaid doula in Michigan
Michigan Medicaid (MDHHS Doula Initiative) · coverage since January 1, 2023 · last checked July 25, 2026
Michigan has covered doula services since January 1, 2023. Since October 1, 2024, the program has paid $100 per visit and $1,500 for labor and delivery. The standard 12-visit package totals $2,700; prior approval for six additional visits can raise the total to $3,300. Complete the registry, NPI, SIGMA, MILogin, and CHAMPS steps in order, then apply separately to each Medicaid Health Plan you intend to bill.
What Medicaid pays
$2,700 standard package; $3,300 with 6 prior-approved additional visits
- $100 per prenatal or postpartum visit (code S9445 + HD; telehealth allowed for visits with modifier 95) and $1,500 for labor & delivery (T1033 + HD, in person), bulletin MMP 24-40, effective Oct 1, 2024 (up from $75/$700)
- 12 visits plus labor and delivery per pregnancy; up to 6 more visits with prior approval when the criteria are met
- Michigan reviews rates annually. Pull the current MDHHS doula fee schedule before billing
12 prenatal or postpartum visits in any mix plus labor and delivery per pregnancy. Up to 6 additional visits require prior approval and must meet program criteria. Diagnosis codes are Z33.1 for prenatal or labor care and Z39.2 for postpartum care.
Who can apply
- Completion certificate from a program on the MDHHS-Approved Doula Training Programs list; no experience-only pathway
- 18+, high school diploma or GED, and the MDHHS Doula Registry application (no fees anywhere in the state chain)
- Liability insurance copies 'if available' for the registry, though health plans may require insurance in credentialing
How to enroll
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Step 1
Join the MDHHS Doula Registry
Application plus your training certificate to MDHHS-MIDoula@michigan.gov; the registry updates monthly.
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Step 2
Get your free Type 1 NPI
NPPES, taxonomy 374J00000X. You can later associate with a CHAMPS-enrolled group for agency billing.
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Step 3
Register in SIGMA, then MILogin, then enroll in CHAMPS
Complete SIGMA Vendor Self-Service before starting CHAMPS. Then create or use your MILogin account and submit the CHAMPS enrollment packet.
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Step 4
Credential with the Medicaid Health Plans
CHAMPS covers fee-for-service Medicaid. Michigan lists nine Medicaid Health Plans: Aetna, Blue Cross Complete, HAP CareSource, McLaren, Meridian, Molina, Priority Health Choice, UnitedHealthcare, and Upper Peninsula Health Plan. Apply first to the plans serving your county and confirm each effective date.
How you get paid
CHAMPS enrollment covers fee-for-service Medicaid. It does not enroll you with a Medicaid Health Plan. Each of Michigan's nine plans uses its own application and contract. Current state guidance lists S9445 with HD for visits and T1033 with HD for birth support.
What to plan for
SIGMA registration, MILogin, and CHAMPS enrollment are separate steps. CHAMPS approval covers fee-for-service Medicaid but does not replace each health plan's application and contract. Confirm the plan's current codes and telehealth rules before billing.
Where to get help
- MDHHS Doula Initiative (registry, enrollment walkthrough, billing guidance, and the Doula Advisory Council)
- Black Mothers' Breastfeeding Association (Detroit community organization on the state's Doula Advisory Council)
- Doula RISE (professional-development reimbursement program running through Aug 2026)
Sources and last checked
We checked these details on July 25, 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.