MedicaidCoverageMedium impact
Doula Services - MEDICAID - VIRGINIA (New)
Humana·VA · OB-GYN, Family Medicine·Medicaid
Effective date
Jul 1, 2025
We identified it
Jun 24, 2026
Summary
Humana Medicaid in Virginia now covers doula services effective July 1, 2025, including up to 10 standard visits (4 prenatal, 6 postpartum) plus delivery attendance, with additional visits available when medically necessary. New billing codes with HD modifiers are required for all doula services.
Action Required
By July 1, 2025: Billing team must add new doula service codes (59409-HD, 59425-HD, 59430-HD, 59514-HD, 99600-HD, 99199-HD, T1032, T1033) to billing system for Virginia Medicaid patients. All claims must include diagnosis code Z32.2. Bill in 15-minute increments where specified. For additional visits beyond standard limits, obtain prior authorization with treating provider order listing medical necessity and number of requested visits.