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MedicaidCoverageMedium impact

KMAP BULLETIN: Doulas Enrollment and Coverage

Kansas Medicaid (KanCare)·KS · OB-GYN, Family Medicine, General Practice·Medical Policy
Effective date
Jul 1, 2024
We identified it
Jun 21, 2026
Days to comply

Summary

Kansas Medicaid now recognizes doulas as covered providers effective July 1, 2024, requiring enrollment with NPI and taxonomy code 374J00000X. Services are covered from conception through one year postpartum with required physician or licensed healthcare provider recommendation.

Action Required

Action needed
For practices serving Kansas Medicaid patients: 1) Doulas must enroll online with individual NPI (type 1) using taxonomy code 374J00000X and provider type/specialty 32/212. 2) Licensed providers (RNs, social workers, NPs, PAs, CNMs, physicians) must document doula service recommendations in patient records or use KMAP referral forms. 3) Update billing systems to recognize new doula provider type for prenatal, labor/delivery, and postpartum services. 4) Ensure doulas obtain signed recommendations before providing services and maintain documentation.