Md. Code Regs. 10.09.39.05

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.09.39.05 - Limitations

Doula services covered under this chapter are subject to the following limitations:

A. One of the following providers shall be present while doula services are provided during the delivery:

(1) An obstetrician-gynecologist;

(2) A family medicine practitioner; or

(3) A certified nurse midwife.

B. Doula services furnished during labor and delivery may not be rendered via telehealth.

C. Payment for doula services shall be limited to direct services provided. Expenses may not be reimbursed for items related to:

(a) Travel;

(b) Administrative overhead; or

(c) Ongoing certification, training, or consultation.

D. Multiple visits are not allowed in the same day except in the following instances:

(a) A prenatal visit occurs earlier in the day, and a labor and delivery visit later in the day; or

(b) A labor and delivery visit occurs earlier in the day, and a postpartum doula later in the day.

Md. Code Regs. 10.09.39.05

Regulations .05 adopted as an emergency provision effective July 1, 1989 (16:14 Md. R. 1565); extended at 16:24 Md. R. 2615; adopted permanently effective November 27, 1989 (16:23 Md. R. 2506); repealed effective 44:17 Md. R. 834, eff. 8/28/2017; adopted effective 49:4 Md. R. 300, eff. 2/21/2022