Doulas in New Hampshire are now able to seek certification through the state, a new process that will allow them to receive direct Medicaid reimbursement for their services. Earlier this month , the state opened its voluntary doula lactation service providers certification applications. “Anyone that's been a doula for years and years and years can apply through the state,” Martin said. Martin said doulas and other peer support services can help bridge gaps in health care. That bill required doulas and lactation services to be covered by Medicaid.