Revisions to Medicaid Services Manual (MSM) Chapter 600 – Physician Services are being proposed to add a new provider type (PT), Doulas. This isa result of the passage of Assembly Bill(AB) 256 and Senate Bill (SB) 420 during the 81st Legislative Session. Doula services include education, emotional and physical support during pregnancy, labor, delivery, and postpartum period. Throughout the chapter, grammar, punctuation and capitalization changes were made, duplications removed, acronyms used and standardized, and language reworded for clarity. Renumbering and re-arranging of sections was necessary. Entities Financially Affected: Doula (PT 90), Outpatient hospitals (PT 12), Special Clinics (PT 17) and Specialty 180 Rural Health Clinics, Specialty 181 Federally Qualified Health Centers; Physician, M.D., Osteopath, D.O. (PT 20); Advanced Practice Registered Nurses (PT 24); Indian Health Programs (PT 47); Nurse Midwives (PT 74); and Physician Assistants (PT 77).