MedicaidReimbursementLow impact
Notice of intent — OHA will amend the Medicaid State Plan to revise the rate methodology for doula services
Oregon Health Plan·OR · OB-GYN, Family Medicine·Public notice
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Summary
Oregon Medicaid will increase the global doula benefit from $1,500 to $1,505 per pregnancy and allow payment for more than two prenatal and two postpartum visits at $215 each, effective January 1, 2025. This affects Oregon Medicaid billing for doula services with expanded visit coverage.
Action Required
By January 1, 2025: Billing team must update Oregon Medicaid fee schedules to reflect new doula service rates - increase global pregnancy benefit from $1,500 to $1,505 and set additional prenatal/postpartum visits at $215 each. Update billing system to allow more than 2 prenatal and 2 postpartum visits per pregnancy for Oregon Medicaid patients.