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Medicaid doula payment rates by state (2026)

There is no reliable national ranking of Medicaid doula pay. States package services differently, and some health plans negotiate their own rates. This table shows each program's published payment structure so you can compare what is actually covered.

The summaries below come from our state guides, each of which links to official program rules and payment schedules. Select a state for its codes, limits, enrollment steps, and source links. We checked this comparison in July 2026. Confirm the current schedule and your health-plan contract before billing.

Published Medicaid doula payment structures and enrollment requirements by state
Published payment structure
Arizona since October 1, 2024 $16.28 per 15-minute visit unit plus $781.32 for labor and delivery Separate plan contracts Yes
California since January 1, 2023 $3,152.65 for the cited vaginal-birth package; $3,263.31 for the cesarean package Separate plan contracts Yes
Colorado since July 1, 2024 Up to $1,500 per pregnancy ($300 prenatal + $300 postpartum + $900 birth) No separate plan contract listed Yes
Connecticut since January 1, 2025 $1,200 standard FFS package (4 visits × $100 + $800 birth) No separate plan contract listed Yes
Delaware since January 1, 2024 AmeriHealth example: about $1,147 for 6 visits, birth, and the incentive Separate plan contracts No
Florida since 2019 (plan expanded benefits) Payment varies by health plan and network contract Separate plan contracts No
Illinois since February 1, 2024 (operational December 19, 2024) $720 for birth; $15 per 15 minutes for individual prenatal/postpartum care Separate plan contracts Yes
Kansas since July 1, 2024 $1,295 for the full prenatal, postpartum, and birth benefit Separate plan contracts No
Louisiana since January 2026 (Medicaid); private-insurance mandate since January 2025 $1,016.52 for 8 visits and birth at current Medicaid FFS rates Separate plan contracts Yes
Maryland since January 1, 2022 $1,331.84–$1,427.84 for 8 one-hour visits plus labor and delivery, depending on visit mix No separate plan contract through Dec. 31, 2026 No
Massachusetts since December 8, 2023 $1,700 standard package without prior authorization No separate plan contract listed Yes
Michigan since January 1, 2023 $2,700 standard package; $3,300 with 6 prior-approved additional visits Separate plan contracts No
Minnesota since 2014 $3,100 for labor and delivery plus 17 other sessions without prior authorization Separate plan contracts No
Missouri since October 1, 2024 $1,600 for the current standard package; additional visits begin August 28, 2026 Separate plan contracts No
Nevada since April 1, 2022 Up to $1,500 urban / $1,650 rural per pregnancy (6 visits + delivery) Separate plan contracts No
New Jersey since January 1, 2021 Up to $1,165 standard / $1,431 enhanced, + $100 postpartum incentive Separate plan contracts No
New Mexico since Late 2024 (provider credentialing since July 1, 2025) $25 per 15-minute visit unit plus $1,500 for labor and delivery Separate plan contracts Yes
New York since March 1, 2024 (statewide) Up to $1,500 per pregnancy in NYC; up to $1,350 rest of state Separate plan contracts Yes
Ohio since October 3, 2024 Up to $1,200 per pregnancy ($600 birth + $600 visit time) Separate plan contracts Yes
Oklahoma since July 1, 2023 $834.46–$1,033.18 for 8 visits and birth, depending on delivery route Separate plan contracts No
Oregon since 2014 $1,505 global rate; $2,365 with all 4 additional visits Separate plan contracts No
Pennsylvania since January 1, 2025 $2,200 standard maximum; up to $2,550 with 2 qualifying support services Separate plan contracts Yes
Rhode Island since July 1, 2022 Up to $1,500 per pregnancy (6 visits × $100 + $900 birth) Separate plan contracts No
South Dakota since January 1, 2025 $1,800 per-pregnancy limit, with additional services available by prior authorization No separate plan contract listed No
Utah since April 1, 2026 Rates set spring 2026. Check Utah's Coverage & Reimbursement Lookup for T1032/T1033 Separate plan contracts Yes
Virginia since 2022 (full implementation July 1, 2022) Up to $1,078.92 per episode, including two possible $50 incentives Separate plan contracts No
Washington since January 1, 2025 Up to $3,500 per client per pregnancy under the standard benefit No separate plan contract listed Yes
Washington, DC since October 1, 2022 $107.89 per perinatal visit; $762.98 for delivery; postpartum care at $13.48 per 15 minutes Separate plan contracts No

“Plan contracting” describes whether you bill the state, work through one application or administrator, or sign a separate contract with each managed-care plan. “Experience pathway” means the state may accept documented doula experience instead of a new training certificate. Read the state guide for conditions and exceptions.

How to compare programs

Check what the number includes

A birth payment may be separate from prenatal and postpartum visits. Visit limits, time-based units, incentives, and prior authorization can all change the total.

Find out who pays the claim

In fee-for-service Medicaid, the state pays enrolled providers directly. In managed care, a health plan administers the benefit and may require its own credentialing and contract.

Use the effective date

Fee schedules and contracts change. Match the rate to the date of service, and use the official schedule or plan contract when it differs from this guide.

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.

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