ຜູ້ໃຫ້ບໍລິການ Doula- FAQs ທົ່ວໄປ​​ 

ພະແນກບໍລິການການດູແລສຸຂະພາບ (DHCS) ກວມເອົາການບໍລິການ doula ໃນທັງການດູແລທີ່ມີການຄຸ້ມຄອງແລະລະບົບການຈັດສົ່ງຄ່າທໍານຽມສໍາລັບບຸກຄົນທີ່ຖືພາແລະຫຼັງເກີດລູກ. ການບໍລິການປະກອບມີການຊ່ວຍເຫຼືອທີ່ບໍ່ແມ່ນທາງການແພດສໍາລັບການໄປຢ້ຽມຢາມກ່ອນເກີດແລະຫຼັງເກີດ, ແລະໃນລະຫວ່າງການເກີດລູກແລະການເກີດລູກ, ການຫຼຸລູກ, ແລະການເອົາລູກອອກ.​​ 

1. ການບໍລິການປະເພດໃດແດ່ທີ່ doulas ອາດຈະສະຫນອງການຊົດເຊີຍຄືນ?​​ 

• Doulas ອາດຈະສະຫນອງການສະຫນັບສະຫນູນປະເພດຕ່າງໆໃນໄລຍະເວລາ perinatal, ລວມທັງໃນລະຫວ່າງການຖືພາ; ການອອກແຮງງານແລະການເກີດລູກ, ການຫຼຸລູກ, ແລະການເອົາລູກອອກ; ແລະເຖິງໜຶ່ງປີຫຼັງເກີດ. ການບໍລິການປະກອບມີຄໍາແນະນໍາ; ການນໍາທາງສຸຂະພາບ; ການສຶກສາທີ່ອີງໃສ່ຫຼັກຖານສໍາລັບການຖືພາ, ຫລັງເກີດ, ການເກີດລູກ, ແລະການດູແລເດັກເກີດໃຫມ່ / ເດັກ; ສະຫນັບສະຫນູນ lactation; ການພັດທະນາແຜນການເກີດ; ແລະການເຊື່ອມໂຍງກັບຊັບພະຍາກອນຂອງຊຸມຊົນ. ກະລຸນາເບິ່ງ ຄູ່ມືຜູ້ໃຫ້ບໍລິການ Medi-Cal: Doula Services ສໍາລັບຂໍ້ມູນເພີ່ມເຕີມ.​​ 

2. ມີຂໍ້ກໍານົດໃດໆທີ່ຕ້ອງໄດ້ຮັບການຕອບສະຫນອງກ່ອນທີ່ສະມາຊິກສາມາດໄດ້ຮັບການບໍລິການ doula? (ເພີ່ມໃນເດືອນສິງຫາ 16, 2024)​​ 

• Doula services are considered a preventive benefit. Federal law requires that all preventive services first be recommended by a physician or other licensed practitioner of the healing arts. To increase access to services, DHCS issued a standing recommendation for doula services by the DHCS Medical Director, Karen Mark, MD, PhD. This fulfills the federal requirement for a recommendation to initiate doula services and Medi-Cal members do not need to separately obtain a recommendation. Doulas should reference this standing order in their records for the Medi-Cal member.​​ 
• If a Medi-Cal member has used all eight perinatal visits and wishes to receive additional doula services during the postpartum period, the member can ask a licensed provider to complete the Medi-Cal Doula Services Recommendation form and give the form to the doula. (Added August 16, 2024)​​ 

3. ໃຜສາມາດແນະນໍາການບໍລິການ doula? (ອັບເດດວັນ 10 ກັນຍາ , 2025)​​ 

• Since the DHCS Medical Director, Dr. Karen Mark, MD, PhD, has issued a standing recommendation for doula services, Medi-Cal members do not need a separate recommendation from a physician or other licensed provider for the initial set of services as described in the Medi-Cal Provider Manual: Doula Services. However, Medi-Cal members will need a new recommendation to receive up to nine additional postpartum visits. This recommendation must be made by a physician or other licensed practitioner of the healing arts acting within their scope of practice under state law. The recommending provider does not need to be enrolled in Medi-Cal or be a network provider with the member’s managed care plan (MCP).​​ 

4. ການບໍລິການ doula ແມ່ນຫຍັງທີ່ໄດ້ຮັບອະນຸຍາດໂດຍຄໍາແນະນໍາຢືນ? (ອັບເດດເດືອນສິງຫາ 16, 2024)​​ 

• ຄໍາແນະນໍາຢືນເຮັດໃຫ້ສະມາຊິກໄດ້ຮັບການບໍລິການ doula ຕໍ່ໄປນີ້:​​ 
  • ຫນຶ່ງການຢ້ຽມຢາມເບື້ອງຕົ້ນ 90 ນາທີ.​​ 
  • Up to eight additional visits that may be provided in any combination of prenatal and postpartum visits, as determined by the birthing person and doula.​​ 
    
  • ສະຫນັບສະຫນູນໃນລະຫວ່າງການອອກແຮງງານແລະການເກີດລູກ, ການເອົາລູກອອກ, ແລະການຫຼຸລູກ.​​ 
    
  • ເຖິງສອງຄັ້ງຕໍ່ເວລາຫຼັງເກີດລູກສາມຊົ່ວໂມງຫຼັງຈາກສິ້ນສຸດການຖືພາ.​​ 
    
• A second recommendation from a physician or other licensed practitioner of the healing arts acting within their scope of practice under state law is required for Medi-Cal members to receive up to nine additional visits during the postpartum period. See questions #5 and #6 below for more information.​​ 

5. ອະນຸຍາດໃຫ້ໄປຢ້ຽມຢາມຫຼັງເກີດເພີ່ມເຕີມເທົ່າໃດ?​​ 

• A second recommendation – either noted in the member’s medical record by a licensed provider or a signed Medi-Cal Doula Services Recommendation: Additional Postpartum Visits form – allows members to receive up to nine additional visits during the postpartum period. The standing recommendation does not authorize these additional postpartum visits.​​ 

6. ຄໍາແນະນໍາທີສອງສໍາລັບການບໍລິການຫຼັງເກີດລູກຈໍາເປັນຕ້ອງມີວັນທີຫຼັງຈາກການຖືພາບໍ?​​ 

• No. If the member has used or is likely to use all eight additional visits while they are pregnant, a licensed provider may recommend additional visits to be provided during the postpartum period.​​ 
  

7. ໄລຍະເວລາຫຼັງເກີດສໍາລັບການບໍລິການ doula ດົນປານໃດ? (ອັບເດດເດືອນສິງຫາ 16, 2024)​​ 

• ສໍາລັບການຄຸ້ມຄອງ doula, ໄລຍະເວລາຫຼັງເກີດແມ່ນສູງເຖິງຫນຶ່ງປີຫຼັງຈາກສິ້ນສຸດການຖືພາ, ເຊິ່ງອະນຸຍາດໃຫ້ສະມາຊິກ Medi-Cal ໄດ້ຮັບການບໍລິການ doulas ໃນໄລຍະນີ້.​​ 

8. ສະມາຊິກສາມາດໄດ້ຮັບການບໍລິການ doula ພຽງແຕ່ໃນໄລຍະຫຼັງເກີດລູກບໍ?​​ 

• ແມ່ນແລ້ວ. ບໍລິການ Doula ສາມາດໃຊ້ໄດ້ເຖິງຫນຶ່ງປີຫຼັງຈາກການຖືພາ. ຖ້າສະມາຊິກບໍ່ມີ doula ໃນຂະນະທີ່ຖືພາ, ເຂົາເຈົ້າອາດຈະໃຊ້ການຢ້ຽມຢາມເບື້ອງຕົ້ນແລະການໄປຢ້ຽມຢາມທັງຫມົດແປດຄັ້ງໃນໄລຍະຫຼັງເກີດລູກແລະເຖິງເກົ້າຄັ້ງເພີ່ມເຕີມຫຼັງຈາກເກີດລູກດ້ວຍການແນະນໍາເປັນລາຍລັກອັກສອນຄັ້ງທີສອງ.​​ 
  

9. DHCS ຈະກວມເອົາການບໍລິການ doula ທີ່ສະໜອງໃຫ້ໃນລະຫວ່າງ ຫຼືຫຼັງການຫຼຸລູກ, ຍັງເກີດ, ຫຼືການເອົາລູກອອກບໍ?​​ 

ແມ່ນແລ້ວ, ການບໍລິການ doula ແມ່ນມີໃຫ້ເພື່ອຊ່ວຍເຫຼືອບຸກຄົນໃນລະຫວ່າງການຖືພາ ແລະຫຼັງການຖືພາທີ່ສິ້ນສຸດດ້ວຍການຫຼຸລູກ, ການເກີດລູກ ຫຼືການເອົາລູກອອກ.​​ 

10. Are there any requirements for reimbursement for doula support provided during or after a miscarriage or abortion? (added November 17, 2025)​​  

Yes. To substantiate the medical necessity for services in case of a state or federaln audit and as an added protection for doulas, reimbursement for doula support for miscarriage is only available when a licensed provider (e.g., a physician, nurse practitioner, nurse midwife, or licensed midwife) has confirmed the pregnancy prior to the miscarriage. Confirmation can be documentation of a prenatal service by a licensed provider through either a claim, encounter data, or medical record.​​   

Reimbursement for doula support for abortion is only available when there is documentation by claim, encounter data, or medical record of medication or surgical abortion.​​   

Doulas are not required to provide supporting documentation when submitting claims and seeking reimbursement for support for miscarriage or abortion or for postpartum services provided after a miscarriage or abortion, but it is a best practice for doulas to confirm with the member that the pregnancy was confirmed by a licensed provider.​​    

11. ມີຂໍ້ຈໍາກັດໃດໆກ່ຽວກັບບ່ອນທີ່ doulas ສາມາດໃຫ້ບໍລິການ? (ເພີ່ມເດືອນມີນາ 11, 2025)​​ 

• ບໍ່. Doulas ອາດຈະໃຫ້ບໍລິການໃນຊຸມຊົນ, ຢູ່ເຮືອນຂອງສະມາຊິກ, ແລະໃນໂຮງຫມໍ, ໃນບັນດາສະຖານທີ່ອື່ນໆ.​​ 
  

12. May doulas ໃຫ້ບໍລິການໂດຍ telehealth? (ອັບເດດວັນທີ 11 ມີນາ 2025)​​ 

• Yes. Doula may provide all services via telehealth, including by telephone. Services rendered via telehealth must be billed consistent with DHCS’ telehealth policy as outlined in the Medicine: Telehealth section of the Medi-Cal Provider Manual. This includes billing with modifier 93 for synchronous audio-only or modifier 95 for synchronous video. Services rendered via text, email, chat, or modalities other than audio-visual or audio-only are not reimbursable. Additionally, all doula services provided via telehealth must meet federal requirements for privacy, including the Health Insurance Portability and Accountability Act.​​ 
• Medi-Cal’s telehealth policy requires that any provider, including doulas, who are providing services via telehealth be able to provide a warm hand-off to an in-person doula, if requested by the Medi-Cal member.​​ 
  

13. ສະມາຊິກສາມາດຮັບການບໍລິການ doula ຈາກຫຼາຍກວ່າຫນຶ່ງ doula ໄດ້ບໍ? (ອັບເດດເດືອນສິງຫາ 16, 2024)​​ 

• ແມ່ນແລ້ວ, ຫຼາຍກວ່າຫນຶ່ງ doula ອາດຈະໃຫ້ບໍລິການໃນລະຫວ່າງການຖືພາຂອງສະມາຊິກແລະໄລຍະເວລາຫຼັງເກີດລູກ. ຢ່າງໃດກໍ່ຕາມ, ຈໍານວນການຢ້ຽມຢາມທັງຫມົດທີ່ສະມາຊິກອາດຈະໄດ້ຮັບແມ່ນຕໍ່ການຖືພາແລະບໍ່ແມ່ນຕໍ່ doula. ນອກຈາກນັ້ນ, ພຽງແຕ່ຫນຶ່ງ doula ອາດຈະເອີ້ນເກັບຄ່າບໍລິການທີ່ສະຫນອງໃຫ້ໃນລະຫວ່າງການອອກແຮງງານ, ການຫຼຸລູກ, ຫຼືການເອົາລູກອອກ.​​ 
• DHCS recognizes that there may be various reasons why a Medi-Cal member may see one or more doulas during the course of their pregnancy, or even on the same day. For example, a Medi-Cal member may meet with one or more doulas as part of the process of initially identifying a doula who best meets their individual needs. Similarly, a Medi-Cal member may need to change doulas during the course of their pregnancy. For these reasons, Medi-Cal policy does not prohibit two doulas from providing medically necessary prenatal or postpartum visits during the course of a Medi-Cal member’s pregnancy or even on the same day.​​ 

14. Doulas ພິເສດ (ເຊັ່ນ: ການເກີດລູກ/L&D-ເທົ່ານັ້ນ, ກ່ອນເກີດເທົ່ານັ້ນ, ຫລັງເກີດເທົ່ານັ້ນ, ແລະອື່ນໆ) ຈະສາມາດໃຫ້ບໍລິການ doula ສໍາລັບພິເສດຂອງເຂົາເຈົ້າໄດ້ບໍ? (ອັບເດດເດືອນພະຈິກ 17, 2025)​​ 

• DHCS has created a single enrollment pathway for doulas, so they must be able to provide all doula services listed in the Medi-Cal Provider Manual: Doula Services — prenatal, labor, and postpartum care. Doulas may have areas of specialties. These are listed in the Doula Directory.
  ​​ 
• DHCS ໄດ້ເຮັດວຽກກັບພາກສ່ວນກ່ຽວຂ້ອງຕ່າງໆເພື່ອພັດທະນາຜົນປະໂຫຍດ doula ທີ່ເຊື່ອວ່າຄວາມຮູ້ກ່ຽວກັບປະສົບການການເກີດລູກແມ່ນຈໍາເປັນເພື່ອສະຫນອງການດູແລຫຼັງເກີດທີ່ມີຄຸນນະພາບ. ດັ່ງນັ້ນ, DHCS ບໍ່ມີແຜນການທີ່ຈະສ້າງ doulas ພິເສດ.​​ 
  

15. Doulas ສາມາດຊ່ວຍໃຫ້ເກີດລູກຢູ່ເຮືອນໄດ້ບໍ? (ເພີ່ມເດືອນມີນາ 11, 2025)​​ 

• ແມ່ນແລ້ວ, doula ອາດຈະຊ່ວຍການເກີດລູກຢູ່ເຮືອນທີ່ສະໜອງໃຫ້ໂດຍຜູ້ໃຫ້ບໍລິການທີ່ມີໃບອະນຸຍາດ. Medi-Cal ບໍ່ມີຂໍ້ຈຳກັດທີ່ doulas ອາດຈະໃຫ້ບໍລິການ.​​ 

16. ຂ້ອຍສາມາດເອົາຂໍ້ມູນເພີ່ມເຕີມ ຫຼືໃຫ້ຄໍາຄິດເຫັນໄດ້ຢູ່ໃສ?​​ 

• Information about the doula benefit is available on the DHCS Doula Services webpage.​​ 
• ກະລຸນາສົ່ງອີເມວຫາ DoulaBenefit@dhcs.ca.gov ພ້ອມກັບຄໍາຕິຊົມ, ຄໍາຖາມ, ແລະຄໍາຄິດຄໍາເຫັນເພີ່ມເຕີມ.
  ​​