杜拉服務常見問題
杜拉提供者-註冊為杜拉
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.成為杜拉的過程是什麼？ （16 月 2024 更新）
- 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.
二.在 Medi-Cal 註冊為杜拉的資格是什麼？
- 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:
培訓途徑：
- 在以下領域完成至少 16 小時的培訓：
- 哺乳支持
- 分產教育
- 懷孕和分產解剖學基礎
- 非醫療舒適措施、產前支援及產前支援技巧
- 制定社區資源清單
- 證明他們在至少三次出生時已作為杜拉提供支持
體驗途徑：
- 或以下兩種情況：
- 在過去七年內，至少有五年的活躍杜拉經驗，具有薪水或義工身份。
- 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.
三.DHCS 是否要求杜拉斯持有特定組織的證書？
- 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.經驗豐富的杜拉斯是否必須重新認證，如果是，認證會費用嗎？
- 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.如何註冊成為 Medi-Cal 提供商？ （16 月 2024 更新）
- 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.
六.我需要滿足任何其他要求才能註冊 Medi-Cal 作為杜拉？ （添加了 16 月 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.
- 這些要求除了「Medi-Cal 提供者手冊：杜拉服務」中所述的 DHCS 要求之外。
七.我需要取得 NPI 號碼嗎？
- 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.
八.通常需要多長時間才能獲得 NPI 號碼？
- 提交正確填妥的電子申請的提供商可以在不到 10 個工作日內收到 NPI。 紙質申請審查大約需要 20 個工作天。 應用程序錯誤可能會延遲過程。
九.我是否需要社會安全號碼（SSN）才能註冊為杜拉？（添加了 11，2025 的三月）
- 聯邦和州法律要求個人提交其 SSN 才能註冊為 Medi-Cal 提供商。DHCS 只能批准已提交 SSN 作為其註冊申請的一部分的杜拉斯的杜拉申請。
十.杜拉斯是否需要自己的保險，還是 DHCS 會為杜拉提供保險？（16 月 2024 更新）
- 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.
十一.以社區為基礎的杜拉群組、組織和機構可以註冊為杜拉群組嗎？
- 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.
十二.我可以在處理我的 PAVE 申請期間向 Medi-Cal 會員提供的服務獲得退款嗎？
- 一旦他們的申請獲得批准，杜拉斯可以向 DHCS 提供給 Medi-Cal 會員的服務向 DHCS 提供的服務收費，以回溯到他們提交批准的申請日期起計費。
- 希望向 MCP 成員提供服務的杜拉斯必須與 MCP 簽訂合同，才能獲得向 MCP 成員提供的杜拉服務的補償。
十三.如果我對申請有疑問，我可以聯繫嗎？
- 是的如果申請人對申請或 PAVE 註冊有疑問或意見，可以發送電子郵件 PAVE@dhcs.ca.gov。
十四. 我在哪裡可以獲得更多信息或提供反饋？
- 有關朵拉（doula）福利的資訊可在 DHCS 朵拉（doula）服務網頁上獲得。
- 如有任何其他問題，請發送電子郵件至DoulaBenefit@dhcs.ca.gov。