How to enroll as a Medicaid doula in New Mexico
New Mexico Medicaid (Turquoise Care) · coverage since Late 2024 (provider credentialing since July 1, 2025) · last checked July 25, 2026
New Mexico Medicaid pays $25 per 15-minute visit unit and $1,500 for labor and delivery. The standard limit is nine visits per calendar year, with up to 2 hours per visit. Certification is free and offers approved-training, competency-training, and experience pathways. After enrolling with the state as Provider Type 406, Specialty 206, follow the current onboarding process for each Turquoise Care managed care plan you intend to bill.
What Medicaid pays
$25 per 15-minute visit unit plus $1,500 for labor and delivery
- T1032-U1: $25.00 per 15-minute unit, up to 8 units (2 hours) per visit and 9 visits per calendar year. Additional visits require medical necessity
- T1033-U3: $1,500 per diem for labor and delivery support, billed after delivery
- T1032-U2 covers support around pregnancy termination; pre-conception and loss counseling are covered; no prior authorization for standard services
- Nine 2-hour visits plus labor and delivery total up to $3,300 under the standard limit
Up to 9 T1032 visits per calendar year, with a 2-hour limit per visit, across prenatal and postpartum care, plus one $1,500 labor and delivery per diem. Additional visits require medical necessity.
Who can apply
- Free NMDOH certification through one of three pathways: an identified training credential; training that meets NMDOH core competencies plus services to 3 clients; or 3 recommendation letters plus services to 3 clients
- 18 or older, current adult and infant CPR from the American Heart Association or American Red Cross, and HIPAA training
- NMDOH processes certifications within 60 days; Medicaid and MCO enrollment run separately after that
How to enroll
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Step 1
Get NMDOH-certified (free)
Choose the pathway that matches your training or experience and submit the documents required for the NMDOH Doula Registry.
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Step 2
Get your free Type 1 NPI
NPPES, taxonomy 374J00000X, explicitly tied to Provider Type 406/Specialty 206 in the state toolkit.
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Step 3
Enroll with NM Medicaid as PT 406 / Specialty 206
Apply through the state provider portal with your NMDOH certification and NPI information. Respond promptly if HCA requests corrections or additional documents.
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Step 4
Follow each Turquoise Care plan's onboarding process
State enrollment does not automatically put you in every managed care network. Contact each plan you intend to bill for its current contracting, credentialing, and claims instructions.
How you get paid
State enrollment does not automatically enroll you with every Turquoise Care plan. Contact each plan you intend to bill for its current onboarding instructions. Services also require a licensed practitioner's recommendation, so collect and retain it before billing.
What to plan for
Certification, state Medicaid enrollment, and managed care onboarding are separate steps. Complete them in that order, get the licensed practitioner's recommendation before billing, and use the current plan instructions rather than assuming every Turquoise Care plan follows the same process.
Where to get help
- NMDOH Doula Program (the free certification, three pathways, registry, and FAQ)
- NMDOH certified doula FAQ (the certification pathways and application requirements)
- NM HCA fee schedules & doula billing guidance (Supplement 25-01 and the current rates)
Sources and last checked
We checked these details on July 25, 2026.
- New Mexico Medicaid State Plan Amendment 24-0004
- HCA Supplement 25-01 (doula billing & reimbursement)
- NMDOH certified doula FAQ
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.