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New Jersey referral requirements

How to refer a Medicaid member to covered doula care in New Jersey

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

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: NJ FamilyCare doula services
  • Referral or recommendation: Retain the licensed-practitioner recommendation, verify NJ FamilyCare eligibility, and confirm the member is not in NJSPCP.
  • Registry or provider setup: Enroll as an NJ FamilyCare fee-for-service community doula before MCO participation; maintain approved community doula training, background check, liability insurance, HIPAA, CPR, and cultural competency requirements.
  • Payer path: NJMMIS / Gainwell and NJ FamilyCare 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.