https://junie.app/guides/ Plain-language guides to the business side of birth work: payment plans, superbills, software choices, and state-by-state Medicaid enrollment. en-us https://junie.app/guides/doula-contract-guide/ https://junie.app/guides/doula-contract-guide/ A doula service agreement should tell the family what support they are buying, what it costs, when payments are due, when the doula is available, how backup support works, and what happens if plans change. Cancellation, refund, retainer, privacy, and electronic-signature language can have different legal effects from one state to another, so use this guide to prepare for an attorney review rather than as a substitute for one. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/doula-payment-plans/ https://junie.app/guides/doula-payment-plans/ Choose how much is due at signing, whether the remaining fee is paid once or in installments, and when the full balance is due. For birth support, some doulas tie later payments to the estimated due date; postpartum plans may follow visit dates or an hour package instead. Put the exact schedule and the rules for cancellations, late bookings, and changed birth plans in the client agreement, with state-specific legal review where needed. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/doula-superbills/ https://junie.app/guides/doula-superbills/ A superbill is an itemized receipt for services a client has paid for. The client may submit it to an insurer, HSA or FSA administrator, or employer benefit program if that program asks for one. A superbill documents the transaction; it does not create coverage or guarantee reimbursement. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/honeybook-alternatives-for-doulas/ https://junie.app/guides/honeybook-alternatives-for-doulas/ The right HoneyBook alternative depends on the work you want the software to handle. Dubsado offers configurable workflows, 17hats combines general small-business tools in one plan, and Doulado is built for doulas and supports electronic insurance claims. A spreadsheet system can still work if you maintain it consistently. Junie is built for birth work and focuses on due dates, on-call periods, postpartum hours, payment receipts, and approval-based administrative drafting. Compare current prices, export options, and the specific workflow you need before moving client records. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/npi-for-doulas/ https://junie.app/guides/npi-for-doulas/ If you provide doula care, you can apply for a free Type 1 NPI through the official NPPES website. CMS estimates that the online application takes about 20 minutes; use your SSN, or an ITIN if you do not qualify for an SSN, and select the doula taxonomy code 374J00000X. An NPI identifies you, but it does not license you, enroll you with Medicaid or another health plan, or guarantee reimbursement. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/what-is-clientflow-software-for-doulas/ https://junie.app/guides/what-is-clientflow-software-for-doulas/ Clientflow software connects the administrative steps between a new inquiry and the end of an engagement: client details, proposals, agreements, payments, appointments, messages, and records. For a doula practice, it should also handle estimated due dates, on-call periods, birth and postpartum services, and hour-based packages without relying on a separate spreadsheet for each one. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/washington-dc/ https://junie.app/guides/medicaid/washington-dc/ DC has covered doula services through Medicaid, the DC Healthcare Alliance, and the Immigrant Children's Program since October 1, 2022. Under the CY2026 rate transmittal, DC pays $107.89 per perinatal visit, $762.98 for delivery support, and postpartum care in 15-minute units. To enroll, you need an approved certification, liability insurance, a DC PDMS application, and contracts with the managed care plans you intend to bill. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/florida/ https://junie.app/guides/medicaid/florida/ Florida's doula benefit is run by Medicaid managed care plans, not through a statewide fee-for-service schedule. AHCA says all Florida Medicaid plans cover doula services, but current plan materials differ on visit limits, referrals, networks, and payment. Confirm the member's plan rules and your Florida Medicaid registration or enrollment requirements before providing a service you expect the plan to pay for. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/california/ https://junie.app/guides/medicaid/california/ Medi-Cal has covered doula services since January 1, 2023. At the rates effective January 1, 2024, an initial visit, 8 standard visits, 2 extended postpartum visits, and delivery support total $3,152.65 for a vaginal birth or $3,263.31 for a cesarean birth. You can qualify through training and birth experience or through the five-year experience pathway. Enroll through PAVE, then contract with each Medi-Cal managed care plan you intend to bill. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/new-york/ https://junie.app/guides/medicaid/new-york/ 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. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/new-jersey/ https://junie.app/guides/medicaid/new-jersey/ NJ FamilyCare has covered community doula care since January 1, 2021. It pays up to $1,165 per pregnancy for standard care, up to $1,431 for clients age 19 and younger, and a $100 incentive for a qualifying postpartum visit. Enrollment requires an approved community doula training, $1 million per claim and $3 million aggregate professional liability coverage, a Type 1 NPI, an NJMMIS application, and contracts with each managed care plan you intend to bill. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/colorado/ https://junie.app/guides/medicaid/colorado/ Health First Colorado has covered doula services since July 1, 2024. The standard limits allow up to $1,500 per pregnancy: $300 of prenatal care, $300 of postpartum care, and $900 for labor and delivery. You can qualify through approved training plus birth experience or through the documented-experience pathway. A licensed practitioner must recommend the service, but doulas bill the state fee-for-service, so no separate plan credentialing is required. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/maryland/ https://junie.app/guides/medicaid/maryland/ Maryland has covered doula services since January 2022. Eight one-hour visits plus labor and delivery pay $1,331.84 to $1,427.84, depending on the mix of prenatal and postpartum visits. Through December 31, 2026, an ePREP-enrolled doula in good standing can serve HealthChoice members without a separate plan contract and must receive at least the fee-for-service rate. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/rhode-island/ https://junie.app/guides/medicaid/rhode-island/ Rhode Island has covered perinatal doula services since July 1, 2022. Medicaid pays up to $1,500 per pregnancy for six visits and labor and delivery support. Enrollment requires the Rhode Island Certification Board credential, a Type 1 NPI, Gainwell enrollment, and contracts with the three Medicaid managed care plans. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/arizona/ https://junie.app/guides/medicaid/arizona/ AHCCCS has covered doula services since October 1, 2024. The current published rates are $16.28 per 15-minute visit unit and $781.32 for labor and delivery. You must hold an ADHS state doula certification before enrolling with AHCCCS. After state registration, follow the contracting or credentialing process for each managed care plan you intend to bill; state registration alone covers only fee-for-service and the American Indian Health Program. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/arkansas/ https://junie.app/guides/medicaid/arkansas/ Arkansas has enacted Medicaid doula coverage, but enrollment and billing were not open when this guide was checked on July 25, 2026. The state missed its December 2025 and June 2026 deadlines, and DHS had not confirmed the reported August 1 target. Community-based doula certification and the NPI application are open now. Wait for DHS to publish final enrollment and billing instructions before assuming a service will be payable. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/new-mexico/ https://junie.app/guides/medicaid/new-mexico/ 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. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/nevada/ https://junie.app/guides/medicaid/nevada/ Nevada has covered doula services since April 2022. Current rates pay $100 per visit and $900 for delivery, with a 10% rural adjustment, for up to $1,500 in urban areas or $1,650 in rural areas when all six visits are authorized. Enrollment requires Nevada Certification Board certification and an online Provider Type 90 application. Nevada verifies credentials centrally, but you must still contact each managed care plan you intend to bill about contracting. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/virginia/ https://junie.app/guides/medicaid/virginia/ Virginia's Community Doula Program has covered doulas since 2022. The current maximum is $1,078.92: $978.92 for the covered service set and two possible $50 incentives. The benefit includes 4 prenatal visits, birth attendance, and 6 postpartum visits through 12 months. A licensed practitioner must recommend care before services begin. Enrollment requires 60 hours of approved training, a Virginia Certification Board credential, liability insurance, fingerprinting, PRSS enrollment, and separate plan contracts. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/ohio/ https://junie.app/guides/medicaid/ohio/ 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. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/missouri/ https://junie.app/guides/medicaid/missouri/ MO HealthNet has covered doula services since October 1, 2024. The current standard package pays $1,600 for six prenatal or postpartum visits, birth attendance, lactation education, and community navigation. A law effective August 28, 2026 gives members who need more than six visits access to up to ten additional visits; the related billing instructions were still pending when this guide was reviewed. Enroll through MMAC and apply separately to each managed care plan you intend to bill. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/south-dakota/ https://junie.app/guides/medicaid/south-dakota/ South Dakota Medicaid has covered doula services since January 1, 2025. Prenatal, postpartum, care-coordination, and birth-attendance payments share a $1,800 limit per pregnancy unless the state approves more. South Dakota has no Medicaid managed care, so doulas enroll once and bill the state. Certification must come from one of the eight organizations in the current billing manual, and each client needs a qualifying practitioner referral. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/utah/ https://junie.app/guides/medicaid/utah/ Utah's Medicaid doula benefit took effect April 1, 2026 under SB 284. You can qualify through an approved certification and birth experience or through the experience pathway. Enrollment runs through PRISM. The benefit covers 16 prenatal units, 12 postpartum units, and one flat-rate birth attendance. Utah publishes current dollar amounts only in its Coverage and Reimbursement Lookup tool, so check T1032 and T1033 there before billing. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/connecticut/ https://junie.app/guides/medicaid/connecticut/ HUSKY Health has covered certified doulas since January 1, 2025. Fee-for-service Medicaid pays $100 for each of four perinatal visits and $800 for active-birth attendance, for a standard total of $1,200 per pregnancy. Connecticut has no Medicaid managed care plans, so one CMAP enrollment covers all HUSKY members. DPH certification requires two references and either approved training or documented experience serving three families. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/delaware/ https://junie.app/guides/medicaid/delaware/ Delaware Medicaid has covered doula services through its managed care plans since January 1, 2024. AmeriHealth Caritas Delaware publishes $477 for birth attendance, $15.83 per 15-minute visit unit, and a $100 incentive for completing the standard visit set; other plan contracts may differ. Enrollment requires Delaware Certification Board certification, MCO-only registration with DMAP, and contracts with the plans you intend to bill. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/pennsylvania/ https://junie.app/guides/medicaid/pennsylvania/ Pennsylvania's Medicaid doula benefit began January 1, 2025. The published fee-for-service package pays up to $2,200 for labor and delivery plus 12 perinatal visits. Two qualifying specialized support services can raise the total to $2,550. Enrollment requires the Pennsylvania Certification Board credential, Medical Assistance enrollment as a non-traditional provider, and contracts with the HealthChoices plans you intend to bill. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/louisiana/ https://junie.app/guides/medicaid/louisiana/ Louisiana managed care plans began covering doula services on January 1, 2026, followed by fee-for-service Medicaid on January 20. Medicaid covers five prenatal visits, three postpartum visits, and birth attendance. At the current fee-for-service rates, all eight visits plus birth total $1,016.52. Registry approval and Medicaid enrollment come first, then each of the five Healthy Louisiana plans has its own contracting process. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/oklahoma/ https://junie.app/guides/medicaid/oklahoma/ SoonerCare has covered doula services since July 1, 2023. At the July 1, 2026 fee schedule, eight prenatal or postpartum visits plus birth attendance pay between $834.46 and $1,033.18, depending on the delivery route. Enrollment requires an accepted certification, a Type 1 NPI, and an OHCA provider contract. Availity lets you submit credentialing information to all three SoonerSelect plans, but you still need a contract with each plan you intend to bill. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/kansas/ https://junie.app/guides/medicaid/kansas/ KanCare has covered doula services since July 1, 2024. The full benefit pays $1,295: $420 for prenatal support, $375 for postpartum support, and $500 for birth attendance. You can qualify with a listed certification or 30 documented training hours; either route also requires an attestation for three births. Enroll through KMAP, then complete contracting with each managed care plan you intend to bill. Every client needs a recommendation from a qualifying licensed provider. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/minnesota/ https://junie.app/guides/medicaid/minnesota/ Minnesota Medicaid has covered doula services since 2014. Rates effective January 1, 2024 pay $100 per prenatal or postpartum session and $1,400 for labor and delivery. MHCP covers 18 total sessions without prior authorization, including the labor and delivery session, so 17 other sessions plus birth total $3,100. Enrollment requires certification from an organization allowed by state law, MDH registration, and MHCP enrollment. Managed care plans require separate contracts. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/michigan/ https://junie.app/guides/medicaid/michigan/ 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. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/illinois/ https://junie.app/guides/medicaid/illinois/ Illinois began operating its Medicaid doula benefit in December 2024, with coverage effective February 1, 2024. The current schedule pays $720 for birth attendance and $15 per 15-minute unit for individual prenatal and postpartum support, subject to daily limits. Before enrolling through IMPACT, you must obtain an Illinois Medicaid-Certified Doula certificate through the SIU School of Medicine program. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/massachusetts/ https://junie.app/guides/medicaid/massachusetts/ MassHealth has covered doula services since December 8, 2023. Doula care is a wrap service, so MassHealth pays claims fee-for-service even when a member belongs to a managed care plan. One state enrollment therefore covers all members. The benefit pays $900 for labor and delivery plus up to eight hours of perinatal visits, and enrollment offers formal-training and experience pathways. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/oregon/ https://junie.app/guides/medicaid/oregon/ Oregon began covering doula services through Medicaid in 2014. The program pays a $1,505 global rate for two prenatal visits, birth attendance, and two postpartum visits, plus up to four additional visits at $215 each. Enrollment requires Traditional Health Worker registry certification, a Type 1 NPI, and OHP provider enrollment. More than 90% of members receive care through regional coordinated care organizations, so doulas must arrange payment with the member's CCO or an available local hub. Sat, 25 Jul 2026 00:00:00 GMT https://junie.app/guides/medicaid/washington/ https://junie.app/guides/medicaid/washington/ Washington's Apple Health birth doula benefit began January 1, 2025. The standard benefit pays up to $3,500 per pregnancy: $750 for the prenatal intake, $750 for labor and delivery, and up to $2,000 for additional visits. More visit units may be approved through a limitation extension. Enrollment requires DOH certification, a Type 1 NPI, ProviderOne enrollment, and professional liability insurance. Doulas bill the state directly, including for clients in managed care plans. Sat, 25 Jul 2026 00:00:00 GMT