Medium impact
Delaware Doula Services Mandate
Highmark·Effective Jan 1, 2026
Effective January 1, 2026, Delaware insurers must cover doula services for pregnant and birthing individuals under individual, small group, and large group fully insured policies. Coverage includes prenatal visits, postpartum visits, labor/birth attendance, and additional visits as clinically recommended. Doulas must be certified per Delaware DMMA requirements, and billing uses HCPCS codes T1032 and T1033, or preventive counseling codes 99401-99403 with diagnosis code Z391.