DOD: Modifications to the Reimbursement of Childbirth Support Services Under the TRICARE Childbirth and Breastfeeding Support Demonstration

Federal Register

Jan 29, 2026

Notice from the Department of Defense (DOD) Director of the Defense Health Agency (DHA) announcing adjustments to the certified labor doulas (CLDs) performing childbirth support services under the Childbirth and Breastfeeding Support Demonstration (CBSD). This notice announces changes to the reimbursement methodology for childbirth support services intended to stabilize reimbursement of certified. DHA is modifying reimbursement for childbirth support services so that the rate approved for March 1, 2025, will be considered a "baseline." The DHA Director will approve a new baseline if it is found that TRICARE reimbursement is not keeping pace with Medicaid reimbursement. The new reimbursement methodology will be effective for rates beginning March 1, 2026.

Legislation and regulations · Maternal health and prenatal care · Maternal health workforce · Medicaid · Reimbursement and payment models · Service delivery models · Veterans