Doula services covered for Medical Assistance recipients.
Key Takeaways
In 2021, the Illinois General Assembly passed Act 102-0004 which provides for reimbursement of doula and home visiting services for medical assistance recipients, subject to appropriation. House Bill 158–which became Act 102-0004–was proposed in January 2021. The bill was made into legislation in April 2021 and go into effect July 1, 2022.
Covered Services:
- Regular perinatal visits which may be provided on a weekly basis.
- Services during the entire duration of labor and delivery.
- Time immediately following birth
- Postpartum services for up to 12 months postpartum.
The Act requires the Department of Healthcare and Family Services shall adopt rules pertaining to credentialing to be eligible for Medicaid reimbursement and rate of reimbursement. The Department must consult with, among others, doula program experts, training providers, and practicing doulas to inform the rulemaking pertaining to credentialing and reimbursement rate. Public comment relating to rulemaking finished in December 2021. The Department has not released the final rule.