T1032 Medicaid reimbursement rates by state
Services performed by a doula birth worker, per 15 minutes. 10 state Medicaid programs publish a fee-for-service rate for T1032 at the physician psychologist level. Rates run from $5.00 in Missouri to $100.00 in Pennsylvania, with a median of $16.45.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 10
- Median rate
- $16.45units vary by state
- Highest
- $100.00Pennsylvania
- Medicare (non-facility)
- —not on the physician fee schedule
T1032 rate in every state
One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service) | $100.00⚠ over 3× mediansince 2025-01-01 | 15 min | $400.00 | Plans must pay at least this | — | 54 Pa.B. 8204 Addition of Doula Services |
| New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service) | $84.37since 2024-03-01 | visit | — | Not classified | — | eMedNY NYS Medicaid Doula Fee Schedule ( |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $25.00since 2025-01-01 | 15 min | $100.00 | Paid by the state, outside plans | — | HCA Birth doula services fee schedule (b |
| ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP) | $24.50since 2026-07-01 | 15 min | $98.00 | Plans negotiate; applies out of network | — | Child Health Plan Plus FY 2026-2027 Fee |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH) | $16.62since 2026-01-01 | 15 min | $66.48 | Not classified | — | Maryland Medicaid Professional Services |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $16.28since 2026-10-01 | 15 min | $65.12 | Plans negotiate; applies out of network | — | AHCCCS FFS Capped Fee Schedule: Doula fe |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $15.00since 2026-10-01 | 15 min | $60.00 | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $15.00since 2024-02-01 | 15 min | $60.00 | Plans negotiate; applies out of network | — | HFS Doula Fee Schedule (effective 2024-0 |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $12.50since 2024-10-03 | 15 min | $50.00 | Plans must pay at least this | — | Appendix DD to OAC 5160-1-60 (Non-Instit |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $5.00since 2024-10-01 | 15 min | $20.00 | Plans negotiate; applies out of network | — | MO HealthNet fee schedule: Doula |
Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.
Frequently asked questions
What does Medicaid pay for T1032?
It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $16.45. Pennsylvania pays the most ($100.00 per 15 min) and Missouri the least ($5.00 per 15 min).
Which state pays the highest Medicaid rate for T1032?
Pennsylvania, at $100.00 per 15 min ($400.00 per hour), effective 2025-01-01.
Do managed-care plans pay the same rate for T1032?
Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The table shows the rule for each state, cited to the contract or statute.