Medicaid Breakdown (Visits & Payments)

For the most part, the details below are how states list the coverage for Medicaid recipients:

Two levels of doula care have been approved for Medicaid reimbursement, (1) standard care, and (2) enhanced care for members aged 19 or younger:

Standard care (8 perinatal visits-1 labor support visit, i.e., 8-1).

• Up to 8 visits in the prenatal or postpartum period, including the option of 1 initial prenatal visit.

• Attendance at the delivery.

Enhanced care (12 perinatal visits-1 labor support visit, i.e., 12-1). Enhanced care delivery is available to members who are 19 years old or younger at the time of the first doula service visit.

• Up to 12 visits in the prenatal or postpartum period, including the option of 1 initial prenatal visit.

• Attendance at the delivery.

Doula services are available starting in the prenatal period and continuing up to 180 days (6 months) postpartum as long as the member retains Medicaid/NJ FamilyCare eligibility.

Can you have multiple doulas? Here is what the information says:

The 8-1 or 12-1 visit limits apply to each doula-member pair. In the event that a beneficiary receives care from multiple doulas, the beneficiary’s visits to the first doula do not count against the visit limit for any subsequent doula.

Sounds to me you can work with an additional doula, or even split the care you receive between doulas.