Medi-Cal FFS Doula Billing Codes Chart
These rates listed below display the rates paid in 2023 prior and the rates paid after implementation of the 2024 Targeted Race Increases (TRI) for services provided on or after January 1, 2024. For more information about when services are eligible for the TRI, please see the Frequently Asked Questions for Reimbursement.
Figure 1
| Extended Initial Visit, 90 minutes | | |
| Prenatal or postpartum visits (up to 8 visits) | | |
| Support during vaginal delivery | | |
| Support during vaginal delivery after previous caesarean section | | |
| Support during caesarean section | | |
| Support during or after miscarriage | | |
| Support during or after abortion | | |
| Extended postpartum visits (up to 2 visits) | | |
| Additional postpartum visits (up to 9 visits) | | |
+As of January 1, 2024 as part of the Department’s Targeted Rate Increase. For more information, please see Medi-Cal-Targeted-Provider-Rate-Increases.
*Only one of these codes would be billed, as appropriate.
**Requires a second recommendation to bill.
Medi-Cal FFS Examples of Maximum Reimbursement Calculations
The chart below provides Medi-Cal FFS examples of the maximum reimbursement amount for the TRI per pregnancy for doulas as of January 1, 2024. The maximum amount reflects the total number of services that may be provided with the standing recommendation.
The second recommendation for additional postpartum services would allow a doula to receive an additional $1,458.99, on top of the amounts in Figure 1 if they provided all nine postpartum visits.
Figure 2
All initial recommendation visits and support during vaginal delivery | | |
All initial recommendation visits and support during vaginal delivery after previous caesarean section | | |
All initial recommendation visits and support during caesarean section | | |
