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Doula coverage across state Medicaid programs
State plan coverage
More than a dozen states have added doula coverage to their Medicaid state plans since 2022. Pennsylvania established coverage and payment effective January 1, 2025 through PA-25-0003[1], Connecticut added independent doula services the same day[2], and Arkansas extends coverage to doulas and lactation consultants effective March 1, 2026[3].
| State | SPA | Effective |
|---|---|---|
| Pennsylvania | PA-25-0003[1] | 01/01/2025 |
| Connecticut | CT-25-0003[2] | 01/01/2025 |
| Arkansas | AR-26-0004[3] | 03/01/2026 |
Cited documents
[1] PA-25-0003, Coverage of and Payment for Doula Services (Pennsylvania SPA, approved)
[2] CT-25-0003, Establishing new coverage for independent doula services (Connecticut SPA, approved)
[3] AR-26-0004, Doula Services and Breastfeeding and Lactation Consultants (Arkansas SPA, approved)
Illustrative sample
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Methods and Standards for Establishing Payment Rates: Inpatient Hospital Services
This amendment: Updates the inpatient and outpatient hospital state plans to increase statewide Medicaid fee-for-service base rates for services paid under the DRG and EAPG systems above and beyond the annual inflation increase.
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