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Become a Medicaid Enrolled Doula

Pregnant Belly

Become a Medicaid Enrolled Doula

Steps to Enroll as a Medicaid Provider

    • 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.  
    • 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.
    • Medicaid Health Plan - Special Contact for Doulas
      • 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. 

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

Documentation and Templates

Documentation must include a start time and end time of services provided, a description of the professional services rendered and information regarding the source of the licensed healthcare provider recommendation* for services. Documentation must be kept in accordance with the record keeping requirements of the Medicaid program as outlined in Section 14 - Record Keeping, of the General Information for Providers chapter of the Medicaid Provider Manual and may be subject to review and post-payment audit.

*The State of Michigan’s Chief Medical Executive issued a statewide standing recommendation for doula services which meets the Medicaid program’s requirement that doula services must be recommended by a licensed healthcare provider. No additional service recommendations are required by the Medicaid program.

The following documentation templates are provided as an optional resource only and are not a Medicaid requirement:

Medicaid Doula Provider Standards of Practice 

 

Please visit the Resources for Doulas section for billing information, guides, webinars & more. 

Please contact the MDHHS Doula Initiative with questions, concerns, inquiries or to request a grievance form at MDHHS-MIDoula@michigan.gov.