KMAP BULLETIN: Doulas Coverage – Allowable Place of Service Clarification

Date: 11/04/25

Effective with dates of service retroactive to July 1, 2024, Kansas Medicaid will cover the doula services rendered at the following place of service codes.

The current enrollment criteria, documentation requirements, and the billing guidelines will remain the same, as indicated on the KMAP bulletin 24099.

Covered Place of Service Codes:
Unless otherwise noted, the following place of service codes applies to prenatal and postpartum care only.

Code	Description
02	Telehealth Provided Other than in Patient’s Home
04	Homeless Shelter
10	Telehealth Provided in Patient’s Home
11	Office
12	Home
13	Assisted Living Facility
14	Group home
15	Mobile Unit
16	Temporary Lodging
17	Walk-in Retail Health Clinic
18	Place of Employment
19	Off Campus Outpatient Hospital
20	Urgent Care Facility – applies to labor and delivery services
21	Inpatient Hospital – applies to labor and delivery services
22	On Campus Outpatient Hospital
23	Emergency Room Hospital – applies to labor and delivery services
25	Birthing Center – *applies to labor and delivery services*
33	Custodial Care Facility
49	Independent Clinic
53	Community Mental Health Center
55	Residential Substance Abuse Treatment Facility
57	Non-residential Substance Abuse Treatment Facility
58	Non-residential Opioid Treatment Facility
71	Public Health Clinic

Note: Doula services may be provided via telemedicine, video and audio transmissions are covered, not applicable for labor and delivery.

Note: The effective date of the policy is July 1, 2024. The implementation of State policy by the KanCare Managed Care Organizations (MCOs) may vary from the date noted in the Kansas Medical Assistance Program (KMAP) bulletins. The KanCare Open Claims Resolution Log on the KMAP Bulletins page documents the MCO system status for policy implementation and any associated reprocessing completion dates once the policy is implemented.

For changes resulting from this bulletin, view the updated Professional Fee-for-Service Provider Manual, page 8-29.