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

Start with Illinois Medicaid 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.

Illinois referral requirements

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

Use Illinois Medicaid 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: Illinois Medicaid doula services
Referral or recommendation: Retain start and end time in hours and minutes for every covered service or encounter in the provider's approved system. Report the delivery date for postpartum attendance; bill the newborn visit under the newborn RIN. NCCI edits apply.
Registry or provider setup: Illinois Medicaid-Certified Doula (SIU School of Medicine); enroll via IMPACT with taxonomy 374J00000X.
Payer path: IMPACT; FFS and HealthChoice Illinois 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 enrollment and coverage noticeIllinois HFS HealthChoice Illinois provider FAQIllinois HFS HealthChoice Illinois provider FAQIllinois HFS Doula enrollment and coverage noticeIllinois HFS

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