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

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

   1. (1) An obstetrician-gynecologist;
   2. (2) A family medicine practitioner; or
   3. (3) A certified nurse midwife.
2. B. Doula services furnished during labor and delivery may not be rendered via telehealth.

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

   1. (a) Travel;
   2. (b) Administrative overhead; or
   3. (c) Ongoing certification, training, or consultation.

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

   1. (a) A prenatal visit occurs earlier in the day, and a labor and delivery visit later in the day; or
   2. (b) A labor and delivery visit occurs earlier in the day, and a postpartum doula later in the day.

Authority: Health-General Article, §§2-104(b), 15-103, and 15-105, Annotated Code of Maryland

Effective date: February 21, 2022 (49:4 Md. R. 300)

Regulation .02 amended effective June 24, 2024 (51:12 Md. R. 618)

Regulation .06H amended effective June 24, 2024 (51:12 Md. R. 618)