More than half of states now pay for doula support through Medicaid. Finding Out What Is Available LocallyAnyone on Medicaid who wants doula support should start with two specific questions rather than a general search. Doula support does not replace prenatal care. Key Questions AnsweredHow many states cover doula care through Medicaid? Check the state Medicaid agency and managed care plan for coverage rules, then use the state doula registry and confirm plan contracting.