MedicaidCoverageMedium impact
MMP 24-40: Update to Medicaid Coverage of Doula Services
Michigan Medicaid - MDHHS·MI · OB-GYN, Family Medicine·Medical Policy
Effective date
Oct 1, 2024
We identified it
Jun 20, 2026
Summary
Michigan Medicaid increased doula service coverage from October 1, 2024, expanding visits from an unspecified amount to 12 per pregnancy, raising labor/delivery support reimbursement to $1,500, and visit rates to $100. Prior authorization allows up to 6 additional visits based on patient needs.
Action Required
By October 1, 2024: Billing team must update Michigan Medicaid doula service billing to use S9445 with HD modifier for prenatal/postpartum visits (limit 12 per pregnancy at $100 each) and T1033 with HD modifier for labor/delivery support (1 per pregnancy at $1,500). Update billing system with new rates and visit limits. For additional visits beyond 12, submit prior authorization via CHAMPS DDE or fax form MSA-1653-B to 517-335-0075 with justification for up to 6 extra visits.