How should a care coordinator refer a Medicaid member to doula care in Arizona?

Start with AHCCCS doula services, confirm Medicaid eligibility and payer type in your own system, use official state or plan links, and tell the member to confirm the doula accepts the member's plan before scheduling.

Should I enter member details?

No. Keep names, IDs, dates of birth, service dates, clinical notes, and plan records in your organization's approved system.

Arizona referral requirements

How to refer a Medicaid member to covered doula care in Arizona

Use AHCCCS doula services sources to help a Medicaid member find and confirm doula support. Keep private member intake in your compliant system.

Open official source Find a doula

Confirm eligibility and plan in your own compliant system.

Use official program or directory links.

Do not send client details through public forms.

What to tell the member

Share program and referral requirements. Add member details only inside your organization's approved system.

Program requirements

Program: AHCCCS doula services
Referral or recommendation: Document the provider referral and an ICD-10 diagnosis on every claim. Routine T1032/T1033 limits may be exceeded only with medical-necessity prior authorization.
Registry or provider setup: ADHS state certification (national/international certification does not qualify), AHCCCS registration via APEP, and a separate NPI.
Payer path: AHCCCS (APEP); FFS and MCO pathways

Client privacy reminder

Do not put member names, Medicaid IDs, dates of birth, service dates, claim numbers, visit notes, or diagnoses in public forms, screenshots, or shared links.

Official links

Doula provider pageAHCCCS AHCCCS health plansAHCCCS AHCCCS health plansAHCCCS Doula provider pageAHCCCS

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