Qhov Tseem Ceeb ntawm Kev Txhawb Kom Muaj Ib puag ncig Zoo Rau Doula
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) ceeb toom rau txhua tus kws kho mob thiab cov chaw kho mob rau niam txiv ntawm Medi-Cal, suav nrog tab sis tsis txwv rau OB/GYNs, kws kho mob tsev neeg, kws pab yug menyuam, chaw kho mob thiab tsev kho mob, txog qhov tseem ceeb ntawm cov kev pabcuam doula rau cov poj niam cev xeeb tub thiab tom qab yug menyuam ntawm Medi-Cal. Cov chaw muab kev pab thiab cov chaw no raug txhawb kom ua cov kauj ruam ua ntej los txhawb kom muaj ib puag ncig zoo rau doula uas hwm lub luag haujlwm tseem ceeb uas doulas ua haujlwm, ua ib feem ntawm pab pawg saib xyuas Medi-Cal, hauv kev tsim thiab kev siv cov phiaj xwm yug menyuam tus kheej, thiab hauv cov tsev kho mob ua ntej thiab ua ib feem ntawm txoj kev yug menyuam.
Doulas muab kev txhawb nqa tus kheej rau cov tswv cuab thiab tsev neeg thoob plaws cev xeeb tub thiab txog li ib xyoos tom qab yug menyuam los ntawm kev muab cov kev pabcuam suav nrog, tab sis tsis txwv rau, cov hauv qab no:
- Kev txhawb nqa lub siab thiab lub cev thaum cev xeeb tub, yug menyuam, yug menyuam thiab lub sijhawm tom qab yug menyuam, nrog rau kev txhawb nqa rau thiab tom qab rho menyuam thiab rho menyuam.
- Kev tsim cov phiaj xwm yug me nyuam thiab kev tawm tswv yim rau cov tswv cuab tus kheej nyiam.
- Kev pab txo kev ntxhov siab thiab kev ntxhov siab, ua rau tus tswv cuab muaj kev xav tias muaj hwj chim thiab muaj kev ywj pheej ntau dua li ib feem ntawm txoj kev yug me nyuam thiab txhim kho kev noj qab haus huv thiab kev yug me nyuam.
Through DHCS’ extensive work on the Birthing Care Pathway initiative, including focus group discussions, it was commonly shared by stakeholders that feeling respected and heard by maternal health care providers is of critical importance to a member’s overall experience. Further, it was highlighted that when members feel that their birth plans and other individual choices are not respected, it can result in negative experiences and an inability to build comfortable, trusting relationships with their maternal health care providers and facilities. To this end, maternal health care providers and facilities should take time to understand Medi-Cal members’ concerns and personal preferences with empathy and without judgment and explain when clinical recommendations might differ.
Txhua tus kws kho mob thiab cov chaw kho mob ntawm Medi-Cal yuav tsum siv zog los koom ua ke thiab txais tos cov kev pabcuam doula ua ib feem ntawm lawv txoj kev kho mob rau cov niam txiv raws li kev xyaum kho mob thiab cov lus qhia ntawm cov kws tshaj lij los ntawm California thiab cov koom haum uas tsom mus rau kev kho mob rau cov niam txiv uas tau lees paub thoob tebchaws. Qhov no suav nrog kev muaj cov cai thiab cov txheej txheem meej, kev kawm thiab kev cob qhia cov neeg ua haujlwm hauv tsev kho mob thiab tsis yog hauv tsev kho mob thiab kev koom tes ntawm ntau lub koom haum uas lees paub doulas ua ib tug tswv cuab tseem ceeb ntawm cov pab pawg saib xyuas cov tswv cuab Medi-Cal.
To help reduce barriers and increase access to care, DHCS has prepared materials and resources for Medi-Cal maternal health care providers and facilities which are available on DHCS’ Doula Services as a Medi-Cal Benefit webpage, and include but are not limited to:
- Cov Lus Qhia rau Doula Cov Kev Pabcuam rau Cov Tswv Cuab Cev Xeeb Tub thiab Tom Qab Yug Me Nyuam Medi-Cal, muab los ntawm Dr. Karen Mark, DHCS Tus Thawj Coj Kho Mob.
- Medi-Cal Doula Services Recommendation Additional Postpartum Visits form (DHCS 8474), which assists with obtaining additional postpartum visits.
- Cov Npe Doula, uas pab nrhiav cov doulas uas tau sau npe rau hauv Medi-Cal.
- Frequently Asked Questions (FAQ) documents on DHCS’ Doula Providers webpage, which include topics such as enrolling as a Medi-Cal doula, contracting with Medi-Cal managed care plans, billing and reimbursement, hospital collaboration and dispute resolution processes.
- Doula Services section of the Medi-Cal Provider Manual, which outlines coverage and reimbursement policies.
- The California Department of Public Health’s All Facilities Letter #25-13, which was prepared in partnership with DHCS to help reduce barriers for doulas accompanying Medi-Cal members in hospital settings.
In addition, there are informational materials, such as Pregnant People and New Parents and Finding the Right Care Team for Your Pregnancy fact sheets that Medi-Cal maternal health care providers can provide directly to members. DHCS has also created a dedicated email inbox, DoulaBenefit@dhcs.ca.gov, which is available to anyone to reach out and directly ask DHCS questions.