助产士申请信息
Doula services include personal support to women and families throughout a woman’s pregnancy, childbirth, and postpartum experience. This includes emotional and physical support, provided during pregnancy, labor, birth, and the postpartum period. Pursuant to federal regulations, doula services must be recommended by a physician or other licensed practitioner.
Doula providers may apply for enrollment in the fee-for-service Medi-Cal program as individuals, group providers, rendering providers, or ordering/referring/prescribing (ORP) providers.
In accordance with Welfare & Institutions Code (W & I Code) Section 14043.75(b), DHCS established specific application and enrollment requirements for doula providers who apply for enrollment in the Medi-Cal program to be reimbursed for the covered services they provide to Medi-Cal beneficiaries. For more information, please see the regulatory provider bulletin titled, “Medi-Cal Enrollment Requirements and Procedures for Doulas.” Please refer to the Doula Questions and Answers for additional information regarding doula provider enrollment.
Doula applicants may apply to enroll in the Medi-Cal program by submitting an electronic application through the Provider Application for Validation and Enrollment (PAVE) online enrollment portal, along with all supporting documentation.
Medi-Cal 计划对助产士的要求
所有助产士在提交申请时必须年满 18 岁，提供美国红十字会或美国心脏协会颁发的成人和婴儿心肺复苏术 (CPR) 认证证明，并证明他们已完成 1996 年《健康保险流通与责任法案》(HIPAA) 的基本培训。
入学选项：培训或体验途径
培训途径要求
收集下面列出的所需文件（如适用），并将其附加到 PAVE 中适用字段中已完成的申请中。 请确保所附文件清晰易读。
- 完成证书，培训时间至少为 16 小时，涵盖以下所有主题：
- 哺乳支持；
- 生育教育；
- 怀孕和分娩的解剖学基础；
- 非医疗舒适措施、产前支持和分娩支持技术；以及
- 制定社区资源清单
如果结业证书未详细说明已完成的总小时数和涵盖的主题，或者导乐申请人没有结业证书，则导乐申请人必须提供已完成课程的教学大纲副本，并填写电子表格申请表中提供的适用证明，证明其已圆满完成涵盖上述必修主题的课程，并注明提供培训课程的组织名称、已完成的总小时数以及完成课程的日期。
- 电子表格申请中的证明，证明他们以助产士的身份为三次分娩提供了支持。
经验路径要求
收集下列所需文件（如适用），并将其附加到已完成的申请表中。 请确保所附文件清晰易读。
1. 在电子表格申请中提供证明，证明他们以有偿或志愿身份提供了助产士服务至少五年。 担任助产士的五年经验必须是在申请提交之日起的过去七年内获得的。
2. 使用本监管提供者公告中提供的推荐模板，由以下任何一位人士撰写的三封客户推荐信或专业推荐信：医生、执业行为健康提供者、执业护士、护士助产士、执业助产士、注册助产士或社区组织。 信件必须是最近七年内写的。 其中一封信必须来自有执照的提供者、社区组织或注册的助产士。
助产士申请人的推荐信模板
所有助产士所需文件
1. 服务提供者或签署申请表并具有法律约束力的人员的驾驶执照或州政府颁发的身份证（在美国 50 个州或哥伦比亚特区内颁发）。
2. 通过提交当前美国国税局 (IRS) 生成的文件进行联邦雇主识别号(FEIN) 验证。 可接受的文件包括 IRS 生成的信函 147-C、IRS 生成的表格 941（雇主季度联邦纳税申报表）、IRS 生成的表格 8109-C（存款券）或 IRS 生成的表格 SS-4（仅限 FEIN 分配的官方确认通知）。 注意：申请表上的申请人或提供者的法定名称必须与 IRS 文件上的名称一致。 如需更多信息，请访问IRS或致电 (800) 829-4933。
3. Local Business License, Tax Certificate, and Permit for any city and/or county where business activities are conducted. Note: The name and business address of the applicant or provider on the application must match the business name and business address on all local licenses and permits. For further information, please contact your city business license office and/or visit the California State Association of Counties Web Site and click on the “California’s Counties” link, and select “County Web Sites.”
助产师须知
导乐服务提供者不受 CCR 第 22 篇第 51000.60 节所概述的既定营业地点要求的约束。
Additionally, doulas may use an “administrative location” for the purposes of reporting a business address in the e-Form application. This may be the same as their mailing address but it cannot be a post office box. This address will appear in directories and in the California Health and Human Services Open Data Portal. For the purposes of doula enrollment, an “administrative location” is defined as the physical location associated with the doula’s operations, which can include where doulas are dispatched or based. They are not required to provide services at the administrative location.