导乐服务常见问题
助产师提供者- 注册成为助产师
卫生保健服务部 (DHCS) 为孕妇和产后人员提供管理式护理和按服务收费的分娩陪护服务。 服务包括产前和产后访问以及分娩、流产和堕胎期间的非医疗支持。
1. 成为一名助产师的流程是怎样的？ （更新于 8 月16日、 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. 加入 Medi-Cal 成为助产师需要什么资格？
- 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:
培训途径：
- 在以下领域完成至少 16 小时的培训：
- 哺乳支持
- 分娩教育
- 妊娠和分娩解剖学基础
- 非医疗舒适措施、产前支持和分娩支持技术
- 制定社区资源清单
- 证明他们至少在三次分娩中提供过助产士的支持
体验途径：
- 或者以下两种情况：
- 过去七年内至少有五年以有偿或志愿者身份积极参与助产工作的经验。
- 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. DHCS 是否要求助产士持有特定组织颁发的证书？
- 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. 有经验的助产士是否需要重新认证？如果需要，认证费用是多少？
- 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. 如何注册成为 Medi-Cal 提供商？ （更新于 8 月16日、 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. 我还需要满足其他什么要求才能以助产士身份加入 Medi-Cal 吗？ （添加于 8 月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.
- 这些要求是对Medi-Cal 提供者手册：Doula 服务中所述的 DHCS 要求的补充。
7. 我需要获取 NPI 号码吗？
- 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. 获得 NPI 号码通常需要多长时间？
- 提交完整电子申请的供应商可以在不到 10 个工作日的时间内收到 NPI。 纸质申请审核大约需要 20 个工作日。 应用程序错误可能会延迟该进程。
9. 我需要社会安全号码 (SSN) 才能注册成为助产师吗？（添加于 3 月11 、 2025 ）
- 联邦和州法律要求个人提交其 SSN 才能注册成为 Medi-Cal 提供商。DHCS 只能批准已在入学申请中提交 SSN 的助产士的申请。
10. 助产士是否必须自行购买保险，或者 DHCS 是否会为助产士提供保险？（更新于 8 月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. 社区助产士团体、组织和机构可以注册成为助产士团体吗？
- 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. 在处理我的 PAVE 申请期间，我可以获得向 Medi-Cal 会员提供的服务的报销吗？
- 一旦申请获得批准，助产士可以向 DHCS 收取为 Medi-Cal 会员提供的服务的费用，费用可追溯至他们提交申请并获得批准之日。
- 希望为 MCP 会员提供服务的助产师必须与 MCP 签订合同，才能获得为 MCP 会员提供的助产师服务的报酬。
13.如果我对我的申请有疑问，我可以联系某人吗？
- 是的。如果申请人对申请或参加 PAVE 有任何疑问或意见，可以发送电子邮件至 PAVE@dhcs.ca.gov 。
14. 我可以在哪里获取更多信息或提供反馈？
- 有关朵拉福利的信息请访问 DHCS 朵拉服务网页。
- 如有任何其他问题，请发送电子邮件至DoulaBenefit@dhcs.ca.gov。