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

Start with Ohio 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.

Ohio referral requirements

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

Use Ohio 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: Ohio Medicaid doula services
Referral or recommendation: Classify FFS versus MCO routing first. FFS uses up to 48 T1032 units before prior authorization for additional units; MCO authorization, filing, appeal, rate, and payment-calendar rules remain plan-specific.
Registry or provider setup: Ohio Board of Nursing-certified community doula with Medicaid enrollment through PNM and MCO credentialing/contracting as applicable.
Payer path: ODM PNM, Ohio Medicaid FFS, and Ohio Medicaid managed-care organization portals

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

Ohio Medicaid All MCO Doula Resource GuideOhio Department of Medicaid and Ohio Medicaid managed-care organizations

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