How to enroll as a Medicaid doula in Ohio
Ohio Medicaid (Maternal and Infant Support Program) · coverage since October 3, 2024 · last checked July 25, 2026
Ohio Medicaid has covered doula services since October 3, 2024. The standard benefit pays up to $1,200 per pregnancy: $600 for birth attendance and up to $600 for visit time. You must first become a State of Ohio Certified Doula, then enroll through the PNM portal. Ohio centralizes credentialing across its seven managed care plans, but you still need a contract with each plan you intend to bill.
What Medicaid pays
Up to $1,200 per pregnancy ($600 birth + $600 visit time)
- T1033 (attendance at delivery): flat $600, once per pregnancy, regardless of labor length
- T1032 (visits, including telehealth): $12.50 per 15-minute unit, up to 48 units standard ($600); prior authorization to exceed
- Confirm the current unit limit and rates in Ohio Medicaid's fee schedule before billing
T1032 visits (any prenatal/postpartum mix, consultations and telehealth included) from the first prenatal visit through 12 months postpartum, capped at 48 units standard, plus one birth attendance.
Who can apply
- State of Ohio Certified Doula via the Board of Nursing: 18 or older, $35 application with a fee waiver available at or below 300% of the federal poverty level, and a Bureau of Criminal Investigation background check
- One qualification route: a Board-recognized certification; at least 3 years of practice plus 10 hours of education, including 4 hours on bias, disparities, and cultural competency; or services to at least 5 clients during the prior 3 years
- Renew in each even-numbered year for $35 with 10 continuing-education hours, including 4 hours on bias, disparities, and cultural competency. The first renewal is exempt from the education requirement
How to enroll
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Step 1
Choose your Board qualification route
You may use a recognized certification, 3 years of practice plus the required 10 hours of education, or recent service to at least 5 clients. Match your documents to the route in the current Board rule.
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Step 2
Become a State of Ohio Certified Doula
Apply through the Board of Nursing's eLicense system. The application is $35, and eligible applicants at or below 300% of the federal poverty level may request a fee waiver. Complete the required BCI WebCheck.
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Step 3
Get your free Type 1 NPI and enroll in PNM
NPPES taxonomy 374J00000X, then Ohio's Provider Network Management module (OH|ID login) as doula specialty 090. Existing providers can add 090 as a secondary specialty.
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Step 4
Contract with the Next Generation plans
ODM's centralized credentialing means you credential once for all seven plans, but you still need a contract with each (or bill under an already-contracted group's TIN). ODM publishes an all-MCO doula resource guide with per-plan contacts.
How you get paid
PNM handles credentialing for all seven Next Generation plans: AmeriHealth Caritas, Anthem, Buckeye, CareSource, Humana, Molina, and UnitedHealthcare. You still need a contract with each plan unless you bill through an organization that already has one. ODM publishes doula-specific plan contacts and application guidance.
What to plan for
Board certification, PNM enrollment, centralized credentialing, and plan contracting are separate steps. The protected title is specifically “State of Ohio Certified Doula.” Confirm your qualification route before paying the application fee or completing the background check.
Where to get help
- ODM Maternal and Infant Support Program (the current benefit, billing codes, and service limits)
- Ohio Board of Nursing doula certification FAQ (the State of Ohio Certified Doula qualification routes)
- ROOTT (Columbus reproductive-justice organization and recognized certifier)
Sources and last checked
We checked these details on July 25, 2026.
- OAC 5160-8-43 (benefit rule, eff. Oct 3, 2024)
- OAC 4723-24-02 (doula certification)
- OAC 4723-24-03 (doula renewal)
- OAC 4723-24-04 (doula continuing education)
- Ohio Revised Code 4723.89 (title and fee waiver)
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.