杜拉服務常見問題
杜拉提供商-一般常見問題
衞生護理服務部（DHCS）涵蓋懷孕和產後個人的管理護理和服務費交付系統的杜拉服務。 服務包括對產前和產後檢查以及分產期間、流產和流產期間的非醫療支持。
1.杜拉斯可以提供哪些服務以獲得補償？
- 杜拉斯在產後期間可以提供各種類型的支持，包括懷孕期間、分產、流產和墮胎；以及產後最多一年。 服務範圍包括指導、健康導航、產前、產後、分產和新生/嬰兒護理的實證教育；哺乳支援；制定出生計劃；以及與社區資源的聯繫。 有關更多信息，請參閱 Medi-Cal 提供商手冊：杜拉服務。
二.會員可以接受杜拉服務之前，是否需要滿足任何要求？（添加了 16 月 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)
三.誰可以推薦杜拉服務？（10 月 2025 日期更新）
- 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.持續推薦授權哪些杜拉服務？ （16 月 2024 更新）
- 常設推薦允許會員接受以下杜拉服務：
- 一次初 90 分鐘的訪問。
- 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.
- 在產生、流產、流產期間的支持。
- 懷孕結束後，最多可延長兩次 3 小時的產後檢查。
- 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.可額外接受多少次產後檢查？
- 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.
六.產後服務的第二個建議是否需要在懷孕後定期？
- 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.
七.杜拉服務的產後期是多長？ （16 月 2024 更新）
- 對於杜拉保障，產後期最多在懷孕結束後一年，這允許 Medi-Cal 會員在此期間接受杜拉服務。
八.會員只能在產後期間接受杜拉服務嗎？
- 是的多拉服務最多可在懷孕後一年提供。 如果會員懷孕期間沒有接受杜拉，他們可以在產後期使用初次檢查和所有八次檢查，最多可以使用 9 次的產後檢查，並提供第二次書面建議。
九.DHCS 會否涵蓋流產、未生育或流產期間或之後提供的杜拉服務？
是的，Doula 服務可以支持懷孕期間和結束後的個人，這些服務會導致流產、未生育或流產的個人。
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.對於竇拉拉可以提供服務的地點是否有任何限制？(三月新增11,2025)
- 不杜拉斯可以在社區、成員家中和醫院等地點提供服務。
12.竇拉拉可以透過遠距醫療提供服務嗎？(2025年3月11日更新)
- 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.會員可以從一個以上的朵拉那裡接受朵拉服務嗎？(八月更新16,2024)
- 是的，會員懷孕和產後期間可能會提供多個杜拉服務。 但是，會員可能接受的總訪問次數是每次懷孕，而不是每次杜拉。 此外，只有一個杜拉可以為產生、流產或流產期間提供的服務收費。
- 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.專科竇拉（例如，僅分娩/L&D、僅產前、僅產後等）是否能夠為其專科提供竇拉服務？(11月更新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 與不同的利害關係人合作發展朵拉福利，這些利害關係人相信，分娩經驗的知識對於提供高品質的產後護理是不可或缺的。因此，DHCS 沒有任何創造專科竇拉的計劃。
15.朵拉可以協助在家分娩嗎？(三月新增11,2025)
- 是的，杜拉可以協助由持牌提供者提供的家庭生育。Medi-Cal 對杜拉斯可能在哪裡提供服務沒有限制。
16. 我可以在哪裡取得更多資訊或提供回饋？
- Information about the doula benefit is available on the DHCS Doula Services webpage.
- 如有任何進一步的反饋，問題和意見，請發送電子郵件 DoulaBenefit@dhcs.ca.gov。