Medicaid for doulas
Which states pay doulas through Medicaid?
As of November 2026, Medicaid pays doulas in 28 states and Washington, DC, and 5 more states are starting. Each state runs its own program, with its own rates, enrollment rules and health plans.
Where Medicaid pays doulas
- Medicaid pays doulas (28 + DC)
- Starting soon (5)
- Not yet (17)
Source: National Academy for State Health Policy (NASHP), March 2026, updated with Arkansas and Utah Medicaid sources. Checked November 2026. Programs change, so check your state's Medicaid agency.
Medicaid pays doulas 28 + DC
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Illinois
- Kansas
- Louisiana
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Missouri
- Nevada
- New Jersey
- New Mexico
- New York Guide
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Dakota
- Utah
- Virginia
- Washington
Starting soon 5
- Maine
- Montana
- New Hampshire
- Tennessee
- Vermont
Not yet 17
- Alabama
- Alaska
- Georgia
- Hawaii
- Idaho
- Indiana
- Iowa
- Kentucky
- Mississippi
- Nebraska
- North Carolina
- North Dakota
- South Carolina
- Texas
- West Virginia
- Wisconsin
- Wyoming
Changes since NASHP's March 2026 chart
- Arkansas: Medicaid doula enrollment opened September 1, 2026, after Health Department certification. Source: Arkansas Department of Human Services.
- Utah: Utah Medicaid lists doula services as a covered benefit and enrolls doulas as providers. Source: Utah Medicaid.
Source: National Academy for State Health Policy (NASHP) (March 2026), updated with the state sources above. Checked November 2026. "Not yet" includes states with pilots, bills or studies in progress.
Wherever you practice
We handle the business side for doulas in every state.
Medicaid, private insurance and private-pay clients. Credentialing, billing and denials, never more than 8% of what we collect.
Frequently asked questions
Which states pay doulas through Medicaid?
As of November 2026, Medicaid pays doulas in 28 states and Washington, DC: Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Illinois, Kansas, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Jersey, New Mexico, New York, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Dakota, Utah, Virginia, Washington.
Which states are starting Medicaid coverage for doulas?
As of November 2026, these states were in the process of starting coverage: Maine, Montana, New Hampshire, Tennessee, Vermont.
Can doulas bill insurance in states where Medicaid doesn't pay yet?
Sometimes. Some private insurance plans cover doula care, and clients can also submit a superbill to their insurer for reimbursement. Coverage depends on the plan.