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

Start with Oregon Health Plan birth 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.

Oregon referral requirements

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

Use Oregon Health Plan birth 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: Oregon Health Plan birth doula services
Referral or recommendation: Verify OHP eligibility before service or billing. For EOCCO, a licensed medical professional must identify the THW type and ordered services in the care or service plan; confirm every other CCO's own billing prerequisites separately.
Registry or provider setup: OHA enrolls doulas certified by the Traditional Health Worker Program; use NPI taxonomy 374J00000X, provider type 13, specialty 600.
Payer path: Oregon Health Plan / MMIS and CCO 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

Traditional Health Worker RegistryOregon Health Authority Coordinated care organizationsOregon Health Authority Coordinated care organizationsOregon Health Authority OHP pregnancy care provider pageOregon Health Authority

Choose another state