MedicaidAdministrativeLow impact
PT 45-26: Extension of Doula Self-Referral Requirement and Expansion of Doula Certification Organizations
Maryland Medicaid·MD · OB-GYN, Family Medicine·Managed Care
Effective date
Dec 11, 2025
We identified it
Jun 18, 2026
Summary
Maryland Medicaid has extended the self-referral requirement for doula services through December 31, 2026, and approved 15 additional organizations for doula certification and training. MCOs must continue to track members who enroll with participating doulas and may require doulas to notify them when members contact them for services.
Action Required
By December 31, 2026: Billing teams at Maryland practices should verify that any doula providers they work with are certified by approved organizations listed in the updated Medicaid Doula Services Program Manual. Continue tracking Medicaid members who enroll with participating doulas and ensure proper notification processes are in place with MCOs.