Dear Oregon Providers,
This page will be a place to access information and resources about Oregon Doulas, links to current State requirements and documents concerning Medicaid Reimbursement for doula care. Please be patient while we compile the most up to date resources as we construct this page. Thank you!
RESOURCES FOR OREGON PROVIDERS
Doula Medicaid Reimbursement Resources:
- DMAP Doula Billing Fact Sheet: The Division of Medical Assistance Programs (DMAP) will reimburse licensed, DMAP-enrolled practitioners for certain services provided by doulas. Doulas must be certified and registered as Traditional Health Workers through the Oregon Health Authority, and enrolled with DMAP using the DMAP 3113 form. Following DMAP reimbursement, practitioners then reimburse the doula as a practice expense. This fact sheet is to help billing providers, clinics and licensed practitioners bill DMAP for labor, delivery and maternity case management (MCM) services provided by doulas as a practice expense.
Doula Related Articles/Documents:
- Doula White paper: "REIMBURSEMENT FOR DOULA CARE: AN OVERVIEW PROCESSES & POTENTIALS FOR OREGON STATE" . Overview: As of January 1, 2014, Oregon Medicaid will give eligible mothers access to doula care in the intrapartum (labor and delivery) period. Qualified, certified doulas will be able to seek reimbursement through stateoutlined pathways, as specified in OARs 410-130-00151 and OARs 410-180-0300 through 410-180-0380.2 This document serves to provide background information to make reimbursement decisions with the goal of consistency across health plans. These OARs resulted from the 2011 legislative passage of HB3650, which “mandates that members enrolled in Medicaid have access to Traditional Health Workers (TWHs) [including doulas] to facilitate culturally and linguistically appropriate care.”