MedicaidCoverageMedium impact
Fee-for-service billing for additional support visits effective Jan. 1, 2025
Oregon Health Plan·OR · OB-GYN·Plan contract
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Summary
Oregon Health Authority will now reimburse up to 4 additional birth doula support visits at $215 per visit, effective January 1, 2025. These visits can occur before or after birth within 12 months of pregnancy end, but only after the standard global benefit has been delivered.
Action Required
By January 1, 2025: Billing teams serving birth doulas must update billing systems to allow fee-for-service billing of additional doula support visits at $215.00 per visit. Ensure billing software requires that the standard global benefit (2 prenatal visits, delivery support, 2 postpartum visits) is delivered before allowing billing of additional visits. Update encounter forms to track visit counts and remind providers of the 4-visit limit within 12 months of pregnancy end. Contact CCOs directly for their specific billing requirements.