{"id":47449,"date":"2026-08-10T15:25:38","date_gmt":"2026-08-10T09:55:38","guid":{"rendered":"https:\/\/banitoday.com\/many-states-cover-doula-care-but-access-to-a-birthing-bestie-is-often-out-of-reach\/"},"modified":"2026-08-10T15:25:38","modified_gmt":"2026-08-10T09:55:38","slug":"many-states-cover-doula-care-but-access-to-a-birthing-bestie-is-often-out-of-reach","status":"publish","type":"post","link":"https:\/\/banitoday.com\/hi\/many-states-cover-doula-care-but-access-to-a-birthing-bestie-is-often-out-of-reach\/","title":{"rendered":"Many States Cover Doula Care, but Access to a \u2018Birthing Bestie\u2019 Is Often Out of Reach"},"content":{"rendered":"<p> <br \/>\n<\/p>\n<div>\n<p>Doula Taja Iglesias and her business partner have built a space in Alexandria, Virginia, that\u2019s all things pregnancy, birth, and childcare.<\/p>\n<p>Comfortable couches in one area invite expectant parents to settle in for birth education classes. In another, a colorful pile of toys await the babies and toddlers. And there\u2019s a free supply of diapers and food. Years ago, as Iglesias was giving birth and expressing her wish not to have an epidural for pain, she felt isolated and that her preferences were dismissed by the medical staff. Today, she works hard to make sure other parents can have the support of a doula.<\/p>\n<p>\u201cWe kind of created this to fill the gaps that we realized existed because we had to go through it,\u201d Iglesias said. She\u2019s the founder of <a href=\"https:\/\/themomagerco.com\/\">The Momager Co.<\/a>, a doula agency dedicated to giving parents care throughout the perinatal process.<\/p>\n<p>Iglesias said one of the widest gaps is the lack of access to doula care for parents on Medicaid.<\/p>\n<p>Doula care has been <a href=\"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2847989\">associated with improved breastfeeding<\/a> initiation and less maternal anxiety. The perinatal doula care covers education about pregnancy and birth, advocacy for\u00a0new parents in the hospital, and help after delivery with lactation and recovery. Doulas often work alongside doctors or midwives who provide medical care.<\/p>\n<p>\u201cThe doula is the person that already knows what you want. We know what your dream birth is,\u201d Iglesias explained. \u201cWe\u2019re somebody that is standing on the side of the parent.\u201d<\/p>\n<div class=\"wp-block-kff-shared-side-by-side block--side-by-side-photo alignfull \">\n<div class=\"wp-block-kff-shared-side-by-side__columns\">\n<div class=\"wp-block-kff-shared-side-by-side__column\" style=\"\">\n<figure class=\"wp-block-image wp-block-kff-shared-side-by-side__image wp-block-kff-shared-side-by-side__image--left\">\n\t\t\t\t\t<img fetchpriority=\"high\" fetchpriority=\"high\" decoding=\"async\" width=\"1200\" height=\"800\" src=\"https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-03-web.jpg?w=1200\" class=\"wp-image-2267350 size-khn-article-large attachment-khn-article-large\" alt=\"A picture of a rocking chair with a breastfeeding pillow\" sizes=\"(max-width: 781px) 100vw, 768px\" srcset=\"https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-03-web.jpg 3840w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-03-web.jpg?resize=150,100 150w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-03-web.jpg?resize=500,333 500w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-03-web.jpg?resize=768,512 768w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-03-web.jpg?resize=1270,847 1270w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-03-web.jpg?resize=1536,1024 1536w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-03-web.jpg?resize=2048,1365 2048w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-03-web.jpg?resize=120,80 120w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-03-web.jpg?resize=300,200 300w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-03-web.jpg?resize=600,400 600w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-03-web.jpg?resize=834,556 834w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-03-web.jpg?resize=1668,1112 1668w\"\/><!-- image-left --><figcaption>\n\t\t\t\t\t\t\tDoula Taja Iglesias, founder of The Momager Co., a doula agency, offers some of her services from a welcoming space in Alexandria, Virginia. \t\t\t\t\t\t (Lynne Shallcross\/KFF Health News)<\/figcaption><!-- image-left --><br \/>\n\t\t\t\t\t\t\t\t\t<\/figure>\n<\/p><\/div>\n<div class=\"wp-block-kff-shared-side-by-side__column\" style=\"\">\n<figure class=\"wp-block-image wp-block-kff-shared-side-by-side__image wp-block-kff-shared-side-by-side__image--right\">\n\t\t\t\t\t<img decoding=\"async\" width=\"1200\" height=\"800\" src=\"https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-04-web.jpg?w=1200\" class=\"wp-image-2267351 size-khn-article-large attachment-khn-article-large\" alt=\"A diaper pail sits in one corner of the image while a bassinet sits on the other side\" sizes=\"(max-width: 781px) 100vw, 768px\" srcset=\"https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-04-web.jpg 3840w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-04-web.jpg?resize=150,100 150w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-04-web.jpg?resize=500,333 500w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-04-web.jpg?resize=768,512 768w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-04-web.jpg?resize=1270,847 1270w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-04-web.jpg?resize=1536,1024 1536w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-04-web.jpg?resize=2048,1365 2048w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-04-web.jpg?resize=120,80 120w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-04-web.jpg?resize=300,200 300w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-04-web.jpg?resize=600,400 600w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-04-web.jpg?resize=834,556 834w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-04-web.jpg?resize=1668,1112 1668w\"\/><!-- image-right --><figcaption>(Lynne Shallcross\/KFF Health News)<\/figcaption><!-- image-right --><\/p>\n<\/figure><\/div>\n<\/p><\/div>\n<\/div>\n<div class=\"is-variant-full wp-block-kff-shared-podcast-player\" id=\"podcast-player-1\" data-audio-url=\"https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/080526doulasmedicaid-spears.wav\" data-play-label=\"Play\" data-pause-label=\"Pause\">\n<div class=\"wp-block-kff-shared-podcast-player__embed-modal\" hidden=\"\">\n<div class=\"wp-block-kff-shared-podcast-player__embed-modal-content\">\n<p>\t\t<textarea class=\"wp-block-kff-shared-podcast-player__embed-code\" readonly=\"readonly\" rows=\"3\">&lt;iframe src=&#8221;https:\/\/kffhealthnews.org\/public-health\/doula-care-medicaid-access-expectant-parents-state-policy-virginia\/embed\/&#8221; width=&#8221;600&#8243; height=&#8221;200&#8243; frameborder=&#8221;0&#8243; scrolling=&#8221;no&#8221; title=&#8221;Many States Cover Doula Care, but Access to a \u2018Birthing Bestie\u2019 Is Often Out of Reach&#8221;&gt;&lt;\/iframe&gt;<\/textarea><br \/>\n\t\t<button type=\"button\" class=\"wp-block-kff-shared-podcast-player__embed-copy-btn\"><br \/>\n\t\t\tCopy\t\t<\/button>\n\t<\/div>\n<\/div>\n<\/div>\n<p>In 2022, Virginia became the fourth state to start reimbursing doulas through Medicaid. A push to address the country\u2019s maternal mortality rates, which are <a href=\"https:\/\/www.commonwealthfund.org\/publications\/issue-briefs\/2024\/jun\/insights-us-maternal-mortality-crisis-international-comparison\">higher than in other high-income countries<\/a>, has been an engine for lawmakers looking to give women on Medicaid the support of doula care. For example, another <a href=\"https:\/\/lis.virginia.gov\/bill-details\/20251\/SB1384\">Virginia law requires<\/a> hospitals to allow an extra person, other than a family member, in the delivery room.<\/p>\n<p>The services offered and the number of visits covered by Medicaid vary by state, but today doulas are covered in <a href=\"https:\/\/nashp.org\/state-trends-in-medicaid-coverage-of-doula-services\/\">26 states and Washington, D.C<\/a>. An additional 20 states have considered proposals or are in the process of implementing similar policies.<\/p>\n<p>In Virginia, doulas say the administrative and logistical challenges they encounter are trickling down to moms. A review of the Virginia Certification Board\u2019s Doula Registry this June found <a href=\"https:\/\/web.archive.org\/web\/20260516114835\/https:\/www.vacertboard.org\/doula-registry\">just 19 doulas<\/a> based in Northern Virginia accept payment from Medicaid.<\/p>\n<div class=\"wp-block wp-block-kff-shared-newsletter  wp-block-kff-shared-newsletter--background-white\" data-type=\"kff-shared\/newsletter\" data-align=\"center\">\n<div class=\"wp-block-kff-shared-newsletter__container\">\n<div class=\"wp-block-kff-shared-newsletter__content\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/kffhealthnews.org\/wp-content\/plugins\/kff-shared\/dist\/\/images\/newsletter-icon.png\" alt=\"Newsletter Icon\" class=\"wp-block-kff-shared-newsletter__img\"\/><\/p>\n<div class=\"wp-block-kff-shared-newsletter__text\">\n<h4 class=\"newsletter__title\">\n\t\t\t\t\tEmail Sign-Up\t\t\t\t<\/h4>\n<p class=\"newsletter__description\">\n\t\t\t\t\tSubscribe to KFF Health News&#8217; free Morning Briefing.\t\t\t\t<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/div>\n<p>Doulas say that while Medicaid coverage of their services is a good first step, the amount of paperwork required in the approval process and the low reimbursement rates mean that fewer doulas participate in the Medicaid program, reducing access for beneficiaries.<\/p>\n<p><a href=\"https:\/\/www.dmas.virginia.gov\/media\/3791\/spa-21-013-doula-services.pdf\">A 2021 law<\/a> that extended doula benefits to Medicaid enrollees sought to improve the health of Virginia parents and decrease the number of mothers who die during the time surrounding birth. The state\u2019s maternal mortality rate is among <a href=\"https:\/\/www.cdc.gov\/nchs\/maternal-mortality\/mmr-2018-2022-state-data.pdf\">the nation\u2019s highest<\/a>.<\/p>\n<p>As co-chair of the state\u2019s task force on doula regulations, Iglesias helps shape policies that make it easier for moms on Medicaid to get doula care through the program.<\/p>\n<p>To access doula services in Virginia, parents on Medicaid must have a referral from a doctor, and their doula must be approved by the state to care for Medicaid beneficiaries. Iglesias would like to see that process be quicker and less costly for doulas, who pay $75-$150 for certification.<\/p>\n<p>While the policy debates continue, Iglesias has decided not to get certified to care for parents on Medicaid. Instead, she raises money to provide doula care for parents on Medicaid outside the system.<\/p>\n<p>\u201cI don\u2019t want to be state-certified with a training that I feel is not full and complete, a training that doesn\u2019t touch on that community aspect of work,\u201d she said.<\/p>\n<p>Iglesias said the services covered are too limited and Medicaid does not allow her to work with clients as she sees fit. Virginia\u2019s payment covers up to eight doula visits. All but the first visit are limited to one hour, which Iglesias said isn\u2019t enough time.<\/p>\n<p>\u201cIf you want to actually build a relationship with this person that you\u2019re going to be standing in with in their most vulnerable moment, it ain\u2019t happening,\u201d Iglesias said.<\/p>\n<figure class=\"wp-block-image alignwide size-large\"><img decoding=\"async\" height=\"847\" width=\"1270\" src=\"https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-05-web.jpg?w=840\" alt=\"Pamphlets, including ones about postpartum depression, are displayed on a tabletop\" class=\"wp-image-2267352\" srcset=\"https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-05-web.jpg 3840w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-05-web.jpg?resize=150,100 150w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-05-web.jpg?resize=500,333 500w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-05-web.jpg?resize=768,512 768w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-05-web.jpg?resize=1270,847 1270w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-05-web.jpg?resize=1536,1024 1536w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-05-web.jpg?resize=2048,1365 2048w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-05-web.jpg?resize=120,80 120w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-05-web.jpg?resize=300,200 300w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-05-web.jpg?resize=600,400 600w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-05-web.jpg?resize=834,556 834w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/07\/Doulas-05-web.jpg?resize=1668,1112 1668w\" sizes=\"(max-width: 1270px) 100vw, 1270px\"\/><figcaption class=\"wp-element-caption\">Informational pamphlets are displayed at The Momager Co., which offers appointments and group classes. (Lynne Shallcross\/KFF Health News)<\/figcaption><\/figure>\n<div class=\"wp-block-kff-shared-side-by-side block--side-by-side-photo alignfull \">\n<div class=\"wp-block-kff-shared-side-by-side__columns\">\n<div class=\"wp-block-kff-shared-side-by-side__column\" style=\"\">\n<figure class=\"wp-block-image wp-block-kff-shared-side-by-side__image wp-block-kff-shared-side-by-side__image--left\">\n\t\t\t\t\t<img loading=\"lazy\" loading=\"lazy\" decoding=\"async\" width=\"3840\" height=\"2560\" src=\"https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-06-web-2.jpg\" class=\"wp-image-2270402 size-full attachment-full\" alt=\"A sign in the middle of the image reads &quot;The Free Store&quot; and &quot;Open every Tuesday-Thursday 12-6pm&quot;\" sizes=\"auto, (max-width: 781px) 100vw, 768px\" srcset=\"https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-06-web-2.jpg 3840w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-06-web-2.jpg?resize=150,100 150w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-06-web-2.jpg?resize=500,333 500w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-06-web-2.jpg?resize=768,512 768w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-06-web-2.jpg?resize=1270,847 1270w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-06-web-2.jpg?resize=1536,1024 1536w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-06-web-2.jpg?resize=2048,1365 2048w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-06-web-2.jpg?resize=120,80 120w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-06-web-2.jpg?resize=300,200 300w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-06-web-2.jpg?resize=600,400 600w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-06-web-2.jpg?resize=834,556 834w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-06-web-2.jpg?resize=1668,1112 1668w\"\/><!-- image-left --><figcaption>\n\t\t\t\t\t\t\tThe Momager Co. operates a store with free postpartum provisions, maternity clothes, baby essentials, and breast\/chestfeeding supplies, as well as food and hygiene items.\t\t\t\t\t\t (Lynne Shallcross\/KFF Health News)<\/figcaption><!-- image-left --><br \/>\n\t\t\t\t\t\t\t\t\t<\/figure>\n<\/p><\/div>\n<div class=\"wp-block-kff-shared-side-by-side__column\" style=\"\">\n<figure class=\"wp-block-image wp-block-kff-shared-side-by-side__image wp-block-kff-shared-side-by-side__image--right\">\n\t\t\t\t\t<img loading=\"lazy\" loading=\"lazy\" decoding=\"async\" width=\"3840\" height=\"2560\" src=\"https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-07-web-2.jpg\" class=\"wp-image-2270403 size-full attachment-full\" alt=\"Baby clothing hangs on multicolored hangers on a clothing rack\" sizes=\"auto, (max-width: 781px) 100vw, 768px\" srcset=\"https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-07-web-2.jpg 3840w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-07-web-2.jpg?resize=150,100 150w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-07-web-2.jpg?resize=500,333 500w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-07-web-2.jpg?resize=768,512 768w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-07-web-2.jpg?resize=1270,847 1270w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-07-web-2.jpg?resize=1536,1024 1536w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-07-web-2.jpg?resize=2048,1365 2048w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-07-web-2.jpg?resize=120,80 120w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-07-web-2.jpg?resize=300,200 300w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-07-web-2.jpg?resize=600,400 600w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-07-web-2.jpg?resize=834,556 834w, https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/8\/2026\/08\/Doulas-07-web-2.jpg?resize=1668,1112 1668w\"\/><!-- image-right --><figcaption>\n\t\t\t\t\t\t\tDonated baby clothing is available free to parents at the Alexandria, Virginia-based doula agency.\t\t\t\t\t\t (Lynne Shallcross\/KFF Health News)<\/figcaption><!-- image-right --><br \/>\n\t\t\t\t\t\t\t\t\t<\/figure>\n<\/p><\/div>\n<\/p><\/div>\n<\/div>\n<p>While pursuing her PhD at George Mason University, <a href=\"https:\/\/www.linkedin.com\/in\/desiraeleaphart\/\">Desirae Leaphart Mensah<\/a> studied the initial implementation of the doula reimbursement policy in Virginia.<\/p>\n<p>Mensah <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC12798800\/\">collected data<\/a> from 2022 to 2024 for a study published this year. She interviewed doulas eager to serve clients on Medicaid. But some told her they got bogged down in the paperwork and never were certified. Doulas report similar struggles with the certification process today.<\/p>\n<p>Mensah said the mismatch between the size of the Medicaid population in Northern Virginia and the low number of doulas available leads to fewer parents receiving doula care.<\/p>\n<p>Coverage is a good first step, Mensah noted, but it doesn\u2019t translate to enough access. During the first two years of implementation, <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC12798800\/\">fewer than 1% of Medicaid births<\/a> in Virginia used doula services. That study is the latest available.<\/p>\n<p>Kenda Denia, executive director of <a href=\"https:\/\/birthincolor.org\/\">Birth in Color<\/a>, a statewide doula collective in Virginia, welcomed the law at first.<\/p>\n<p>\u201cBut now we\u2019re looking at certain logistics that are not working,\u201d Denia said.<\/p>\n<p>Private-pay doulas in Virginia <a href=\"https:\/\/www.searchcradley.com\/blog\/how-much-does-a-birth-doula-cost-northern-virginia-2025\">commonly charge<\/a> $1,200 to $3,000 per pregnancy. For families wanting more extensive prenatal or postpartum services, the fee can be as much as $6,000. Virginia\u2019s Medicaid program, also known as Cardinal Care, <a href=\"https:\/\/www.dmas.virginia.gov\/media\/4690\/community-doula-benefit-overview-flyer.pdf\">reimburses doulas $859<\/a> per pregnancy. They receive an additional $100 if their client attends prenatal and postpartum doctors\u2019 visits.<\/p>\n<p>The pay is too low and does not reflect the value of the services they provide, Denia said. \u201cMidwives don\u2019t get paid this. Doctors don\u2019t get paid this,\u201d she explained. \u201cWe are driving to people\u2019s homes for postpartum and prenatal care.\u201d<\/p>\n<p>Doulas might wait weeks or months for reimbursement, and the pay is not flexible. The Medicaid reimbursement rate is the same across the state and does not capture the <a href=\"https:\/\/www.erieri.com\/cost-of-living\/united-states\/virginia\/alexandria\">higher cost of living<\/a> in areas like Alexandria. It\u2019s roughly 32% more expensive in Alexandria than the average cost of living in Virginia, according to ERI Economic Research Institute, a private data analytics group.<\/p>\n<p>Despite the barriers, Denia applauded parts of the policy. Medicaid coverage of doulas means that more parents can have a \u201cbirthing bestie,\u201d she said.<\/p>\n<p>Before getting pregnant, Juliana Navia had no idea what doulas did. But while at a free clinic for her prenatal checkups, Navia connected with Iglesias. Later, Iglesias became Navia\u2019s doula and helped her navigate a difficult situation when she wasn\u2019t getting the kind of care she wanted at the hospital.<\/p>\n<p>\u201cI was stressed giving birth, but my doula helped me,\u201d Navia said. \u201cI was advocated for.\u201d<\/p>\n<\/div>\n<p><br \/>\n<br \/><a href=\"https:\/\/kffhealthnews.org\/public-health\/doula-care-medicaid-access-expectant-parents-state-policy-virginia\/\">Source link <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Doula Taja Iglesias and her business partner have built a space in Alexandria, Virginia, that\u2019s all things pregnancy, birth, and childcare. Comfortable couches in one area invite expectant parents to settle in for birth education classes. In another, a colorful pile of toys await the babies and toddlers. And there\u2019s a free supply of diapers [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":47450,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[270],"tags":[],"class_list":["post-47449","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health-2"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 4.9.10 - aioseo.com -->\n\t<meta name=\"description\" content=\"Doula Taja Iglesias and her business partner have built a space in Alexandria, Virginia, that\u2019s all things pregnancy, birth, and childcare. Comfortable couches in one area invite expectant parents to settle in for birth education classes. In another, a colorful pile of toys await the babies and toddlers. 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