MedicaidCoverageMedium impact
5160-8-43 - Doula services. (Amend/Final File)
Ohio Medicaid·OH · OB-GYN, Family Medicine·Medical Policy
Effective date
Oct 1, 2025
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has finalized an amendment to Rule 5160-8-43 regarding doula services coverage and billing requirements. This represents the latest update in a series of policy changes that began in 2024, with the final amendment taking effect October 1, 2025.
Action Required
Before October 1, 2025: Billing teams serving Ohio Medicaid patients should review the finalized doula services rule 5160-8-43 to understand any updated coverage criteria, billing requirements, or documentation standards. Contact Ohio Department of Medicaid at 614-752-3877 for specific implementation guidance if your practice provides or coordinates doula services.