The District’s Medicaid program covers doula services to help make pregnancies and births healthier. This page explains the step-by-step process on becoming a Medicaid doula provider. You will also find several resources for enrollment, billing and reimbursement.

HOW TO BECOME A MEDICAID DOULA PROVIDER 

Follow these steps:

1. Read the Guide
   • ​Review the most current edition of the Medicaid Doula Provider Manual [PDF RESOURCE].
   • For provider portal registration, trainings, provider forms, further billing manuals, and provider contact information, please visit the DC Medicaid Online Portal.
2. Get Certified
   • You must already have doula certification or become certified by one of the Approved Certification Organizations.
   • If you are interested in having your doula certification program considered for inclusion on the DHCF-approved certification organization list, please email [email protected] 
3. Enroll as a Medicaid Provider

• Step 1: Create an account at www.dcpdms.com
• Step 2: Select the application type: Standard Application
• Step 3: Select provider type: Doula*
• Step 4: Identify Pay to Provider – Check “Yes” if you are a doula working independently; Check “No” if you are a doula working as part of a group

INFORMATION FOR CURRENT MEDICAID-ENROLLED DOULA PROVIDERS

•  
• Medicaid Doula Provider Manual [PDF RESOURCE]
• Place of Service Code Set | CMS
• Doula Services Billing Document
• Doula Services SPA 3.1B
• Doula Services SPA 3.1A
• Chapter 112 Doula Services EP Rulemaking 9 26 22

TRANSMITTALS RELATED TO THE MEDICAID DOULA BENEFIT

• Transmittal 22-34 - Doula Benefit, Provider Qualifications and Enrollment, Rates and Reimbursement Standards
• Transmittal 24-32 Doula Expansion of Eligible Entities | dhcf
• Transmittal 25-36 - Medicaid Doula Services Rate Change Effective January 1, 2026.pdf
• Transmittal 26-12 - Expansion of Doula Certification Entities.pdf