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QUICK GUIDE TO MEDI-CAL COVERAGE OF DOULA SERVICES DHCS PROVIDER MANUAL - ESSENTIALS & TIPS

Starting on 1/1/2023, Medi-Cal covers full spectrum doula care, as preventive services. Doula services are aimed at preventing perinatal complications and improving health outcomes for birthing parents and infants. Doulas serving Medi-Cal beneficiaries provide person-centered, culturally competent care that supports the racial, ethnic, linguistic, and cultural diversity of beneficiaries while adhering to evidence-based best practices.



Doula minimum qualifications:

  • Must be at least 18 years old

  • Possess an adult and infant CPR certification

  • Have completed basic HIPAA training

  • Meet one of the below qualification pathways

  • Have a National Provider Identifier (NPI)


TRAINING PATHWAY EXPERIENCE PATHWAY

  • Complete a minimum of 16 hours (total) of training in the following areas:

  • Lactation support

  • Childbirth education

  • Foundations on anatomy of pregnancy and childbirth

  • Nonmedical comfort measures, prenatal support, and labor support techniques Developing a community resource list

  • Provide support at a minimum of three births


EXPERIENCE PATHWAY

  • At least 5 years of active doula experience in either a paid or volunteer capacity within the previous seven years.

  • Attestation to skills in prenatal, labor, and postpartum care as demonstrated by 3 letters of recommendation.

    • One letter must be from a licensed provider, a community-based organization, or an enrolled doula.

    • The last two letters can be written client testimonial letters and/or professional letters of recommendation from a physician, licensed behavioral health provider, nurse practitioner, nurse midwife, licensed midwife, enrolled doula, or community-based organization. All letters must be written within the last seven years.



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