Key Takeaways
In 2018, Florida approved coverage of doula services for Medicaid recipients as part of a large expanded care package. Doula services are available only for Medicaid recipients on managed care plans, but this covers the majority of Medicaid recipients.
Doula services were added as an optional expanded benefit. This means that insurance providers have significant discretion in providing coverage for doula services. This table provided by the Agency for Healthcare Administration shows which insurance providers cover doula services. While many plans have decided to include doula services, each plan determines criteria, processes, and reimbursement rate. Many insurance companies have delegated credentialing to the National Doula Network who connects patients to a doula and works with insurance companies to verify and manage billing. Others have done outreach and education and some restrict doula services to high-risk pregnancies.
Reimbursement ranges from $800-1100 generally, with one plan reimbursing at a rate of $450. Clients who are medicaid recipients will need to contact their provider to determine coverage, reimbursement, limits, and procedures.