MedicaidCoverageMedium impact
Doula Services
EmblemHealth·NY · OB-GYN, Family Medicine·Provider News
Effective date
Apr 1, 2025
We identified it
Jun 20, 2026
Summary
EmblemHealth now covers doula services for pregnant, birthing, and postpartum patients (up to 12 months after delivery) across hospital, clinic, and community settings for specific plan types including Medicaid and Essential Plan members. The insurer is actively recruiting doulas to join their provider network and has created specific billing guidance.
Action Required
By April 1, 2025: Billing team should review the Doula Services Benefit Policy Manual for specific billing and coding guidance if practice works with doula providers. Contact medicaidproduct@emblemhealth.com for network participation information if interested in partnering with doula services for covered members.