How to enroll as a Medicaid doula in New York
NYS Medicaid · coverage since March 1, 2024 (statewide) · last checked July 25, 2026
New York's statewide Medicaid doula benefit began March 1, 2024. It pays up to $1,500 per pregnancy in New York City and up to $1,350 elsewhere in the state. You can qualify through training or documented experience, and you must carry liability insurance. Apply online through the eMedNY Provider Services Portal, complete the required state directory listing, and then contract with each Medicaid managed care plan you intend to bill.
What Medicaid pays
Up to $1,500 per pregnancy in NYC; up to $1,350 rest of state
- NYC (downstate): up to 8 perinatal visits + $750 for labor & delivery = $1,500 maximum per pregnancy
- Rest of state: up to 8 perinatal visits + $675 for labor & delivery = $1,350 maximum
- Rates unchanged since the 2024 launch; confirm the per-visit amounts against the current eMedNY doula fee schedule
- Labor & delivery is payable only when the doula attends the birth
Up to 8 perinatal visits (any prenatal/postpartum mix, through 12 months postpartum, regardless of pregnancy outcome) plus continuous labor and birth support. A statewide standing order (June 2024) covers the recommendation requirement. No individual referral needed.
Who can apply
- 18+, adult and infant CPR, HIPAA compliance, and current doula-specific liability insurance at enrollment
- Training pathway: at least 24 contact hours of education, including 20 hours of core doula topics and 4 hours of broader topics, plus support at a minimum of 3 births
- Experience pathway: 30 births OR 1,000 hours of doula experience within the last 10 years, with testimonials covering prenatal, labor, and postpartum skills
- Revalidation every 5 years with continuing-education attestation
How to enroll
-
Step 1
Get your free Type 1 NPI
NPPES, taxonomy 374J00000X. New York enrolls doulas as individual practitioners.
-
Step 2
Apply online through the eMedNY Provider Services Portal
Complete the doula enrollment application and upload the pathway attestation, supporting documents, EFT information, and ETIN certification requested in the portal. There is no application fee.
-
Step 3
Complete the required state doula directory listing
New York requires enrolled doulas to appear in the Medicaid doula directory and keep their information current. Follow the directory page's instructions after enrollment.
-
Step 4
Contract with each managed care plan
Since April 1, 2025 the benefit runs through Medicaid Managed Care plans, each with its own contracting process. DOH publishes a doula point-of-contact for every plan. Start with that list.
How you get paid
Complete fee-for-service enrollment and the required directory listing before applying to a managed care plan. Each plan has a separate contract, although the state publishes a doula contact for every plan and requires plans to cover at least the fee-for-service benefit.
What to plan for
State enrollment is only the first network step. You must also complete the state directory listing and contract with each managed care plan you intend to bill. Use the current eMedNY portal instructions rather than older guides built around a mailed paper application.
Where to get help
- NYS Medicaid doula benefit pages (enrollment, per-plan contacts, directory, and the standing order)
- NYS Medicaid doula directory (the required directory listing and update instructions)
- eMedNY provider enrollment (the current online enrollment steps and the enrollment call center (800-343-9000))
Sources and last checked
We checked these details on July 25, 2026.
- NYSDOH doula provider enrollment page
- eMedNY doula enrollment
- NYS Medicaid doula directory requirements
- eMedNY doula enrollment pathways
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.