DOD: Modification To Childbirth Support Services Covered Under the TRICARE Childbirth and Breastfeeding Support Demonstration

Federal Register

Apr 11, 2024

Notice from the Department of Defense (DOD) Director of the Defense Health Agency (DHA) announcing adjustments to the reimbursement and provider qualifications for childbirth support services under the Childbirth and Breastfeeding Support Demonstration (CBSD). The second phase of CBSD will include a new reimbursement methodology, new doula-specific codes, increased flexibility for antepartum and postpartum visits, and a new requirement for certified labor doulas (CLDs) to be participating providers. DHA also announces the National Black Doula Association (NBDA) as a certification body for CLDs and the certification requirement for doulas practicing in a state with an active state-wide doula Medicaid benefit will be waived when that doula is actively enrolled in that state Medicaid program. Phase 2 will be fully implemented by January 1, 2025, with a transition period beginning June 10, 2024. The modifications to the certified labor doulas (CLD) certification requirement are effective April 11, 2024.

Health occupations · Licensure and certification of health professionals · Maternal health and prenatal care · Medicaid · Service delivery models · Veterans