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MMP 24-40: Update to Medicaid Coverage of Doula Services
Act
by Oct 1, 2024
Effective date
Oct 1, 2024
Identified
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.
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What to do
by Oct 1, 2024 · 3 steps
01Billing 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).
02Update billing system with new rates and visit limits.
03For 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.
Codes mentioned
S9445T1033Z33.1Z39.2
Original notice
MMP 24-40: Update to Medicaid Coverage of Doula Services
michigan.gov · Always check the source before changing claims.
Related changes
See all Michigan Medicaid - MDHHS changes →MMP 22-47MediumEffective Jan 1, 2023 · Provider BulletinMMP 23-14: Updates to the MDHHS Medicaid Provider Manual; Medicaid Eligibility Requirements; Federal Public Health EmergencyMediumEffective Apr 1, 2023 · EnrollmentMMP 23-08: Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Code UpdatesMediumEffective Jan 1, 2023 · Claims & BillingBrowse every Michigan Medicaid - MDHHS change in the policy list