MedicaidCoverageMedium impact
2025.14 - Provider Bulletin - New Coverage of Certified Doulas
Connecticut Medicaid (HUSKY Health)·CT · OB-GYN, Family Medicine·Provider Bulletin
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) now covers certified doula services with fee-for-service reimbursement retroactive to January 1, 2025. Doulas can bill up to 4 perinatal visits at $100 each and 1 labor/delivery attendance at $800, but must be DPH-certified, enrolled with CMAP, and have licensed practitioner referrals.
Action Required
Immediately: Billing team must add new HCPCS code T1033 for doula perinatal visits ($100) and T1033-HD for labor/delivery attendance ($800) to billing system for Connecticut Medicaid patients. Verify doula DPH certification and CMAP enrollment before billing. Require licensed practitioner referral on file before submitting claims. Update encounter forms to capture modifier HD for labor/delivery services.