CommercialAdministrativeLow impact
Fee-for-service billing for members with commercial insurance coverage
Oregon Health Plan·OR · OB-GYN·Provider
Effective date
May 1, 2024
We identified it
Jun 20, 2026
Summary
Oregon Health Authority now allows birth doulas to bill OHA directly for members with commercial insurance that doesn't cover doula services, eliminating the previous requirement to obtain denial letters from commercial insurers first.
Action Required
Oregon-based doula providers should immediately update billing workflows to bill OHA directly when commercial insurance doesn't cover doula services, without first obtaining denial letters. Continue to bill commercial insurance first only when doula services are covered.