Become a Medicaid Enrolled Provider

Steps to Enroll as a Medicaid Provider
Doula providers seeking reimbursement for their professional services to Medicaid beneficiaries are required to be on the MDHHS Doula Registry and enroll as a Medicaid provider. 

Doulas interested in becoming Medicaid providers are encouraged to review the following resources:

• MMP 22-47: Medicaid Doula Policy
• Medicaid Provider Manual
• Doula FAQ Guidance
• Medicaid Doula Services Billing Guidance
• Doula Specialty - Provider Enrollment
• Medicaid Guide for Doula Providers
• Medicaid Professional Provider Resources - Doula Section

Step 1:  Complete a MDHHS Doula Registry Application

• MDHHS Doula Registry Application

• Qualified individuals must be at least 18 years of age and possess a high school diploma or equivalent. 
• Doulas must submit a training completion certificate from a MDHHS-Approved Doula Training Program/Organization.

Step 2:  Apply for a Type 1 (Individual) National Provider Identifier (NPI)

• National Provider Identifier Application

• Instructions for how to apply for a NPI 

Step 3:  Register for SIGMA Vendor Self-Service (VSS)

• SIGMA Vendor Self-Service Portal

Step 4:  Register for a MILogin Account for Access to Community Health Automated Medicaid Processing System (CHAMPS)

• MILogin Portal
• MILogin Instructions for New Providers

Step 5: Complete an Application in CHAMPS

• Doula Provider Enrollment
• CHAMPS Enrollment Application: Individual/Sole Proprietor User Guide to complete the CHAMPS application and select the doula specialty.
• Having trouble with CHAMPS?
• CHAMPS Provider Support staff are available to assist prospective and current providers in navigating the CHAMPS system
  • Phone: 1-800-292-2550 option 4.
  • Email: Providersupport@Michigan.gov
  • Monday through Friday 8:00 am to 5:00 pm EST. Closed on all State and major holidays.

• After enrolling in CHAMPS, a doula may provide services to fee-for-service ("straight Medicaid") clients. Fee-for-service is the term for Medicaid paid services that are not provided through a health plan. Doulas must submit fee-for-service claims through CHAMPS. 

Step 6:  Credential/Contract with a Medicaid Health Plan (MHP) 

• Most Medicaid beneficiaries are enrolled in a Medicaid Health Plan (MHP). After enrolling in CHAMPS, doulas wishing to provide services to clients enrolled in a MHP must become contracted with some of or all of the MHPs in the doula’s geographic service area. 
• Credentialing with Medicaid Health Plans is an extensive process and varies by plan; please note the process could take several months.
• Once a doula is a contracted provider with an MHP, doulas must submit claims to the client’s MHP to receive reimbursement.
• Each MHP has specific billing processes, please reach out to the individual MHP for guidance regarding billing processes. 
• Doula Special Projects Contact List
  • If, after communicating with the Medicaid Health Plan support team, a doula requires additional ‘doula specific’ assistance, please reach out to the Doula Special Project Contact on the list.