New York State Medicaid Doula Services Benefit

The NYS enacted 2023-24 Executive Budget includes expanded Medicaid coverage of preventative care, including Statewide Medicaid coverage and higher reimbursement for doulas. The NYS Office of Health Insurance Programs will continue to engage doula stakeholders to implement the Medicaid doula services benefit.

Medicaid Members Looking for a Doula

The NYS Medicaid Doula Directory can be found here. The doula directory lists all of the doulas who are enrolled as NYS Medicaid fee-for-service providers and is updated regularly.

Standing Order for Doula Services

The State Health Commissioner Dr. James McDonald issued a statewide standing order (PDF) that all New Yorkers who are pregnant, birthing, or postpartum would benefit from receiving doula services. This order is another step in expanding access to doula care and fulfills the requirement for a provider recommendation for services to be covered by Medicaid. The standing order will allow doulas to provide physical, emotional, educational, and non-medical support for pregnant and postpartum individuals before, during, and after childbirth or at the end of pregnancy through 12 months postpartum.

This order fulfills the federal requirements in section 440.130(c) of title 42 of the Code of Federal Regulations for a physician or other licensed practitioner of the healing arts acting within their scope of practice to provide a written order for preventive services.

Doulas are now able to enroll as NYS Medicaid doula services providers. Visit eMedNY to enroll. More information about enrollment support for doulas is below.

Doula Stakeholder Meetings

Upcoming Virtual Town Halls

2024 Tentative Public Meeting Dates*
Date Time Registration Link Slide Deck Recording
Tuesday, January 9, 2024 10:00am-12:00pm Concluded PDF YouTube
Tuesday, February 13, 2024 10:00am-12:00pm Concluded PDF YouTube
Tuesday, March 12, 2024 10:00am-12:00pm Concluded PDF YouTube
Tuesday, April 9, 2024 10:00am-12:00pm Concluded PDF YouTube
Tuesday, May 14, 2024 10:00am-12:00pm Concluded PDF YouTube
Tuesday, June 11, 2024 10:00am-12:00pm Concluded PDF  
Tuesday, July 9, 2024 10:00am-11:00am Concluded PDF  
Tuesday, August 13, 2024 10:00am-12:00pm Register Here    
Tuesday, September 10, 2024 10:00am-12:00pm      
Tuesday, October 8, 2024 10:00am-12:00pm      
Tuesday, November 12, 2024 10:00am-12:00pm      
Tuesday, December 10, 2024 10:00am-12:00pm      

*Additional sessions have been added to support provider enrollment. See table below.

Date Time Slide Deck Recording
Tuesday, May 30, 2023 1:00pm-2:00pm PDF YouTube
Tuesday, June 20, 2023 2:00pm-4:00pm PDF YouTube
Friday, July 7, 2023 9:00am - 11:00am PDF YouTube
Monday, July 17, 2023 11:00am-1:00pm PDF YouTube
Friday, August 11, 2023 10:00am-12:00pm PDF | Pilot YouTube
Friday, September 22, 2023 10:00am-12:00pm PDF YouTube
Monday, October 16, 2023 2:00pm-3:00pm PDF YouTube
Thursday, November 16, 2023 9:00am-10:00am PDF | CDPHP YouTube
Friday, December 1, 2023 9:30am-10:30am PDF | IH YouTube

Doula Services Statewide Enrollment Information

All enrollment support sessions are voluntary. If you have any questions, you can email

Provider Enrollment and Billing Support

Session Date Time Info Registration Link Slide Deck Recording
March 5, 2024
  • Medicaid team will walk through enrollment process
  • Live Q&A
Concluded PDF YouTube
March 20, 2024
March 29, 2024
April 18, 2024
April 29, 2024
May 9, 2024
May 31, 2024
June 24, 2024
August 8, 2024
1:00-3:00pm Register Here    
Support 1:1
Ongoing By appointment –
click on the
registration link
to view available times
  • Applicants must sign up for a time slot using the Calendly link
  • Each session is 30 minutes
  • Applicants cannot submit documents via mail or email to review
  • Applicants can schedule additional sessions
Register Here    
June 5, 2024
10:30am-12:30pm Part 1: Intro to Billing for Doulas
  • Provider Manual
  • Fee Schedule
  • Billing Codes
  • Eligibility
  • Claim Submission Intro
  • Timely Billing
Concluded PDF YouTube
September 18, 2024
10:00am-12:00pm Register Here    
June 17, 2024
1:30pm-3:30pm Part 2: ePACES and Submitting a Claim for Doulas
  • Step by step guidance for submitting a claim
September 23, 2024
10:30am-12:30pm Register Here    

* Attendance at informational and support sessions are voluntary.

Provider Enrollment Feedback Sessions

On January 12 and January 17, 2024, NYS Medicaid hosted two one-hour, virtual sessions with 22 stakeholders who volunteered to provide feedback about the Medicaid enrollment process for doulas. Stakeholders provided their perspectives about strengths, weaknesses, and suggestions for the Erie County doula pilot enrollment materials and draft provider enrollment materials for the upcoming statewide benefit for doula services. NYS Medicaid thanks all participants for their time and feedback to improve the enrollment process.

A summary of the feedback can be found in the table below.

Date Time Registration Link Slide Deck Summary
Friday, January 12, 2024 1:00pm-2:00pm Concluded PDF PDF
Wednesday, January 17, 2024 12:00pm-1:00pm Concluded PDF PDF

Preparing for NYS Medicaid Enrollment and Billing

Review Doula Services Provider Enrollment Information on

Review General Resources on

Use DOH Enrollment Resources

Subscribe to Medicaid Updates:

  • Review Doula Services Update (PDF)
  • All formal announcements, effective dates, and updates to the NYS Medicaid doula services benefit will be published via Medicaid Updates.

Medicaid Managed Care (MMC) Contact List:

  • Doula services will be carved out of the MMC plan benefit packages from March 1, 2024, through December 31, 2024.
  • All Medicaid Members who are enrolled in FFS or MMC plans are eligible for Medicaid coverage of doula services during and after the MMC carve out.
  • Doulas must first enroll with FFS in Medicaid before they can contract with MMC Plans
  • Each MMC Plan will have their own contracting process for doulas.
  • More guidance about the Carve-Out can be found in the Provider Manual (external link)
  • To see which Medicaid Managed Care Plans operate in each NYS county, visit the Medicaid Managed Care Enrollment Reports webpage and view the report for the current year and month.
  • The Medicaid Office has compiled a list of points of contact at each MMC plan for doulas. Please see the table in the dropdown tab below.
Plan Name Point of Contact Email Address Point of Contact Phone Number Plan Website For Providers
Amida Care N/A N/A N/A
Anthem HP, LLC\ 212-563-5570\
Capital District Physicians' Health Plan, Inc. (CDPHP) 518-641-4290
Excellus Health Plan 315-439-4662 585-315-8946
Lauren Alexander (Compliance) 516-253-8505
Amanda Borszewski (Contract Management) 347-646-3138
Jordan M. Pollack (Contract Management) 347-646-3000
Health Insurance Plan of Greater New York (HIP)/Emblem
Healthfirst PHSP, Inc. 888-801-1660
Highmark Blue Cross Blue Shield 984-243-7104
Independent Health Association N/A
MetroPlus Health Plan\ 212-908-8634
Molina Healthcare of New York, Inc. 877-872-4716
MVP Health Care 518-991-3569 518-991-3923
SelectHealth from VNS Health (VNSNY Health) 866-783-0222
UnitedHealthcare of New York 952-703-7148

Doula Services Statewide Implementation Updates

The State Plan Amendment (SPA) for NYS Medicaid Doula Services was submitted for federal approval on December 28, 2023, and approved March 25, 2024. There are two ways to view the SPA:

  1. Visit the Proposed and Approved State Plan Amendments website.
    • Open the year 2024
    • Click 'Non-Institutional Services'
    • Find SPA 24-03, Doula Services, and click the link under the column "Original Submission"
  2. Link to SPA 24-03


The Federal Public Notice (FPN) for doula services was published in the NYS Register as of December 13, 2023. The FPN allows for formal public comment on the proposed NYS Medicaid doula services benefit from the FPN publication date, December 13, 2023, until federal approval. The public comment period is now closed. There are three ways to view the FPN:

  1. Link to the Dec 13, 2023, NYS Register (page 79 of the document, page 85 of the PDF).
  2. Visit the State Register website.
    • The doula services FPN can be found in the issue labeled "December 13, 2023/Vol. XLV, Issue 50.".
    • To review issues, scroll down to the bottom of the State Register website and use the search function.
  3. View the PDF of the Dec 13, 2023, NYS Register (page 79 of the document, page 85 of the PDF).

Doula Services Benefit Frequently Asked Questions

FAQ Archive

Doula Pilot Program

On April 23, 2018, New York State announced a comprehensive initiative to target maternal mortality and reduce racial disparities in health outcomes. This initiative included a pilot program to provide Medicaid coverage for doula services to pregnant and postpartum people. A doula, also known as a birth companion, birth coach, or post-birth supporter, is a non-medical person who provides physical, emotional, and informational support to pregnant people before, during, and after delivery. Doulas receive training from either a national organization or a community-based organization, and these trainings vary in content, requirements, and duration. There are no universally accepted standards for doula certification and doulas are not licensed. Doulas do not prescribe treatment, complete a physical or behavioral health assessment, or provide medical care or advice.

Starting on March 1, 2019, pregnant people who were enrolled in Medicaid and living in Erie County were eligible to enroll in the New York State Doula Pilot Program. The pilot was initially established for a two-year period and was extended. Reimbursement for doula services continued through February 29, 2024, and doulas were able to enroll in the pilot through February 28, 2023.

All doulas who are currently enrolled in New York State Medicaid via the Doula Services Pilot will remain enrolled through February 28, 2025. To revalidate on or before February 28, 2025, doulas who are currently enrolled in New York State Medicaid via the Doula Services Pilot will need to follow updated revalidation requirements according to statewide guidelines.

As of April 9, 2024, 1,117 people enrolled in one of six different Medicaid Managed Care Plans or Medicaid Fee-for-Service participated in the pilot program.The pilot covered up to four visits with the doula before delivery, up to four visits with the doula after delivery, and doula support during labor and delivery. To date, approximately 81% of claims were for prenatal visits, 6% were for labor and delivery support, and 13% were for postpartum visits.

Participating people were all sent a survey to assess satisfaction and experience with the pilot. To date, 94% of respondents said having a doula improved or somewhat improved their childbirth experience and 92% of respondents rated their doula as good or excellent.

A report has been published sharing findings from focus groups conducted with pilot doulas and pilot doula clients. The September 2023 report can be accessed here: Findings from Focus Groups of Doulas and Clients in Buffalo (PDF)

Information about the NYS Doula Pilot Program has been archived and can be found here.

To receive updates on the Medicaid doula services benefit, email

Para ver esta información en español, visite Doula Services en español.