Doula Cov Kev Pab Cuam Tshuam Cov Lus Nug
Doula Cov Chaw Pabcuam- Sau npe ua Doula
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) suav nrog cov kev pabcuam doula hauv ob qho tib si tswj kev saib xyuas thiab them nqi-rau-kev pabcuam kev pabcuam rau cov menyuam cev xeeb tub thiab tomqab yug menyuam. Cov kev pabcuam muaj xws li kev pabcuam tsis yog khomob rau kev mus ntsib ua ntej yug menyuam thiab tomqab yug menyuam, thiab thaum lub sijhawm ua haujlwm thiab yug menyuam, nchuav menyuam, thiab rho menyuam tawm.
1. Dab tsi yog txheej txheem los ua doula? (Hloov kho lub Yim Hli 16, 2024)
- Doulas may apply for enrollment through the DHCS PAVE – Provider Application and Validation for Enrollment portal. Supporting videos and additional information on how to apply can be found in the “Doula Application Information” webpage.
- Doulas can also reference the Medi-Cal Doula Provider Enrollment Checklist to identify what documents they need before they begin their application.
2. Cov kev tsim nyog tau txais kev tso npe ua doula nrog Medi-Cal yog dab tsi?
- All doulas must be at least 18 years old, possess an adult/infant cardiopulmonary resuscitation (CPR) certification, and have completed basic Health Insurance Portability and Accountability Act (HIPAA) training. In addition, a doula must meet either of the following qualification pathways:
Txoj kev cob qhia:
- Ua kom tiav yam tsawg kawg ntawm 16 teev ntawm kev cob qhia hauv cov chaw hauv qab no:
- Txhawb nqa lactation
- Kev kawm yug me nyuam
- Lub hauv paus ntawm lub cev ntawm cev xeeb tub thiab yug menyuam
- Cov kev ntsuas kev nplij siab uas tsis yog kho mob, kev txhawb nqa ua ntej yug menyuam thiab kev txhawb nqa kev ua haujlwm
- Tsim ib daim ntawv teev cov peev txheej hauv zej zog
- Ua pov thawj tias lawv tau muab kev txhawb nqa raws li doula yam tsawg kawg peb yug
Experience Pathway:
- Los yog ob qho tib si hauv qab no:
- Tsawg kawg yog tsib xyoos ntawm kev ua haujlwm doula hauv kev them nyiaj lossis kev ua haujlwm pub dawb hauv xya xyoo dhau los.
- Attestation to skills in prenatal, labor, and postpartum care as demonstrated by three written client testimonial letters or professional letters of recommendation from any of the following: a physician, licensed behavioral health provider, nurse practitioner, nurse midwife, licensed midwife, enrolled doula, or community-based organization. Letters must be written within the last seven years. One letter must be from either a licensed provider, a community-based organization, or an enrolled doula.
3. Puas yog DHCS xav kom doulas muaj daim ntawv pov thawj los ntawm cov koom haum tshwj xeeb?
- No. The certificate does not need to be from a specific organization as long as it covers the requirements listed in the Medi-Cal Provider Manual: Doula Services. Additional information regarding enrollment is available at Doula Application Information webpage.
4. Puas muaj kev paub txog doulas yuav tsum tau lees paub, yog tias muaj, daim ntawv pov thawj puas yuav raug nqi?
- DHCS does not have a schedule for recertification. If recertification is required in the future, it would be the responsibility of the doula to cover any costs associated with meeting the doula minimum qualifications and training/experience pathway requirements outlined in the Provider Manual.
5. Kuv yuav tso npe ua Medi-Cal li cas? (Hloov kho lub Yim Hli 16, 2024)
- Doulas can enroll through DHCS’ Provider Application and Validation for Enrollment (PAVE) portal: PAVE page. Additional resources on how to enroll in PAVE can be found on the Doula Application Information webpage and Doula – Training and Medi-Cal Providers webpage.
- Doulas will also need to contract separately with each individual Medi-Cal managed care plan (MCP) operating within their service area to provide covered services to Medi-Cal members who receive Medi-Cal through the managed care delivery system. Please see the Medi-Cal Managed Care Plan Contact List for names and contact information for each individual MCP who can assist doulas with contracting with the MCP. Please see the MCP enrollment section for more detailed information.
6. Puas muaj tej kev cai ntxiv uas kuv yuav tsum tau ua kom tau txais kev tso npe hauv Medi-Cal li doula? (Ntxiv Lub Yim Hli 16, 2024)
- Individuals who enroll in Medi-Cal may also need to meet applicable local (city, county, etc.) or state requirements to operate a business in California. This is particularly important for doula group enrollment. Please see the Medi-Cal Doula Provider Enrollment Checklist to identify what documents you may need to submit as part of your application in the PAVE system.
- Cov kev cai no yog ntxiv rau DHCS cov kev cai raws li tau teev tseg hauv Medi-Cal Tus Muab Kev Pab Cuam: Doula Services.
7. Kuv puas yuav tau txais tus lej NPI?
- Yes. Doulas will need to register for a National Provider Identifier (NPI) to enroll with DHCS. An NPI is a numeric identifier assigned to a health care provider by the Centers for Medicare & Medicaid Services (CMS). Doulas can apply for an NPI online or by mail through the CMS NPI Application/Update Form page.
8. Feem ntau nws yuav siv sijhawm ntev npaum li cas thiaj tau txais tus lej NPI?
- Tus neeg muab kev pabcuam uas xa daim ntawv thov hluav taws xob ua tiav tau zoo tuaj yeem tau txais NPI hauv tsawg dua 10 hnub ua haujlwm. Kev tshuaj xyuas daim ntawv thov siv sijhawm kwv yees li 20 hnub ua haujlwm. Kev thov yuam kev tuaj yeem ncua cov txheej txheem.
9. Kuv puas xav tau tus Naj Npawb Xaus Saus (SSN) los tso npe ua tus doula? (ntxiv Lub Peb Hlis 11, 2025)
- Tsoom Fwv Teb Chaws thiab lub xeev txoj cai lij choj xav kom cov tib neeg xa lawv daim SSN thiaj li tso npe ua Medi-Cal tus kws kho mob. DHCS tsuas tuaj yeem pom zoo daim ntawv thov doula los ntawm doulas uas tau xa SSN ua ib feem ntawm lawv daim ntawv thov nkag.
10. Puas yog doulas yuav tsum muaj lawv tus kheej kev pov hwm lossis DHCS puas yuav muab kev tuav pov hwm dua? (Hloov kho lub Yim Hli 16, 2024)
- DHCS does not offer any types of insurance for doulas. The requirement for different types of insurance is dependent on the local requirements (county/city) where the doula is providing services. Please see the Medi-Cal Doula Provider Enrollment Checklist to identify what documents they may need to submit as part of their application in PAVE. DHCS would recommend that all doulas review this checklist before they begin their application.
11. Cov pab pawg doula hauv zej zog, cov koom haum, thiab cov koom haum puas tuaj yeem tso npe ua pawg doula?
- Yes, if they meet the criteria to apply as a doula group. When enrolling as a group provider, one application is submitted for the group itself, and a separate application is submitted for each rendering provider. Please visit the Doula Application Information page.
12. Kuv puas tuaj yeem them rov qab rau cov kev pabcuam uas kuv muab rau cov tswvcuab Medi-Cal thaum kuv daim ntawv thov PAVE tab tom ua tiav?
- Thaum lawv daim ntawv thov raug pom zoo, doulas tuaj yeem sau nqi DHCS rau cov kev pabcuam muab rau cov tswvcuab Medi-Cal nrog cov nqi-rau-kev pabcuam rov qab mus rau hnub uas lawv tau xa daim ntawv thov uas tau pom zoo.
- Doulas uas xav muab kev pabcuam rau MCP cov tswvcuab yuav tsum nkag mus rau hauv cov ntawv cog lus nrog MCPs kom tau txais cov nyiaj them rov qab rau cov kev pabcuam doula muab rau cov tswvcuab MCP.
13. Puas muaj ib tus neeg uas kuv tuaj yeem tiv tauj yog tias kuv muaj lus nug txog kuv daim ntawv thov?
- Yog lawm. Cov neeg thov tuaj yeem xa email rau PAVE@dhcs.ca.gov yog tias lawv muaj lus nug lossis lus nug txog lawv daim ntawv thov lossis kev tso npe hauv PAVE.
14. Kuv tuaj yeem tau txais cov ntaub ntawv ntau ntxiv lossis muab kev tawm tswv yim nyob qhov twg?
- Cov ntaub ntawv hais txog qhov txiaj ntsig doula muaj nyob rau ntawm DHCS Doula Services lub vev xaib.
- Thov xa email rau DoulaBenefit@dhcs.ca.gov nrog rau cov lus nug ntxiv.