T1033 Medicaid reimbursement rates by state
Services performed by a doula birth worker, per diem. 17 state Medicaid programs publish a fee-for-service rate for T1033 at the physician psychologist level. Rates run from $100.00 in Minnesota to $1,500.00 in Michigan, with a median of $750.00.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 17
- Median rate
- $750.00units vary by state
- Highest
- $1,500.00Michigan
- Medicare (non-facility)
- —not on the physician fee schedule
T1033 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 |
|---|---|---|---|---|---|---|
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $1,500.00since 2024-10-01 | day | — | Plans negotiate; applies out of network | — | MDHHS Child and Adolescent Health Center |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $1,500.00since 2026-01-01 | Max of 1 unit - billed after delivery | — | Plans must pay at least this | — | Reproductive Health and Child Specific B |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service) | $1,000.00since 2025-01-01 | day | — | Plans negotiate; applies out of network | — | 54 Pa.B. 8204 Addition of Doula Services |
| ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP) | $882.00since 2026-07-01 | day | — | Plans negotiate; applies out of network | — | Child Health Plan Plus FY 2026-2027 Fee |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $834.28since 2026-04-01 | day | — | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $800.00since 2024-10-01 | day | — | Plans negotiate; applies out of network | — | MO HealthNet fee schedule: Doula |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH) | $800.00since 2026-01-01 | day | — | 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) | $781.32since 2026-10-01 | day | — | Plans negotiate; applies out of network | — | AHCCCS FFS Capped Fee Schedule: Doula fe |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $750.00since 2025-01-01 | day | — | Paid by the state, outside plans | — | HCA Birth doula services fee schedule (b |
| New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service) | $675.00since 2024-03-01 | day | — | Not classified | — | eMedNY NYS Medicaid Doula Fee Schedule ( |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $645.00since 2024-07-01 | day | — | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services) | $616.01since 2026-07-01 | day | — | Not classified | — | South Dakota Medicaid Doula fee schedule |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $600.00since 2024-10-03 | day | — | Plans must pay at least this | — | Appendix DD to OAC 5160-1-60 (Non-Instit |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule | $500.00since 2024-07-01 | day | — | Not classified | — | KMAP Fee Schedule QMB Medicaid (FeeSched |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal Targeted Rate Increase fee schedule (fee-for-service; plans pay at least this under the TRI directed payment) | $250.85since 2026-10-01 | day | — | State-directed payment | — | Medi-Cal Rates (Rates files zip: rates_d |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $100.00since 2025-01-01 | day | — | Not classified | — | CMAP fee schedule: Doula - 1/1/2025 |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $100.00since 2024-01-01 | day | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
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 T1033?
It depends on the state. Of the 17 states with a published fee-for-service rate, the median is $750.00. Michigan pays the most ($1,500.00 per day) and Minnesota the least ($100.00 per day).
Which state pays the highest Medicaid rate for T1033?
Michigan, at $1,500.00 per day, effective 2024-10-01.
Do managed-care plans pay the same rate for T1033?
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.
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