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HumanaMedicaid · Coverage · Medicaid · VA · OB-GYN, Family MedicineMedium impact

Doula Services - MEDICAID - VIRGINIA (New)

Act
by Jul 1, 2025
Effective date
Jul 1, 2025
Identified
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.

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What to do

by Jul 1, 2025 · 4 steps
01Billing 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.
02All claims must include diagnosis code Z32.2.
03Bill in 15-minute increments where specified.
04For additional visits beyond standard limits, obtain prior authorization with treating provider order listing medical necessity and number of requested visits.

Codes mentioned

594095942559430595149960099199T1032T1033Z32.2

Original notice

Doula Services - MEDICAID - VIRGINIA (New)
mcp.humana.com · Always check the source before changing claims.
View original ↗

Related changes

See all Humana changes →
Doula Services - MEDICAID - VIRGINIA (Revised)MediumEffective Oct 28, 2026 · MedicaidDoula Services - MEDICAID - LOUISIANA (Revised)MediumEffective Apr 8, 2026 · MedicaidHome Health - MEDICAID - INDIANA (New)MediumEffective May 13, 2026 · MedicaidBrowse every Humana change in the policy list

Related policy hubs

Humana policiesVA policy changesOB-GYNFamily MedicineCode 59409Code 59425Code 59430Code 59514Code 99600Code 99199Code T1032Code T1033Code Z32.2

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