New York Medicaid: Doula services coming soon to Medicaid Managed Care

Effective April 1, 2025, in accordance with New York State Department of Health guidance, doula services will be added to the Medicaid Managed Care (MMC) benefit package. 

Benefit details

UnitedHealthcare Community Plan of New York (Medicaid) members will be eligible for doula services during pregnancy and up to 12 months after the end of pregnancy, regardless of the pregnancy outcome. 

If the member becomes pregnant within the 12 months following a prior pregnancy, their eligibility for doula services will start over with the new pregnancy. Any unused perinatal doula services from the prior pregnancy will not carry over.

How to bill doula services

Doula services provided to members on or after April 1, 2025, should be billed to us. Any doula services provided to members before April 1, 2025, will be covered by and should be billed to Medicaid fee-for-service (FFS).

To learn more, please view the New York State Medicaid Doula Services Benefit Policy Manual.