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

Start with Rhode Island 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.

Rhode Island referral requirements

How to refer a Medicaid member to covered doula care in Rhode Island

Use Rhode Island 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: Rhode Island Medicaid doula services
Referral or recommendation: Verify RI Medicaid eligibility on each date of service; MCO claims may require a modifier on the CPT/HCPCS codes.
Registry or provider setup: RICB-certified perinatal doulas enroll through the RI Medicaid Healthcare Portal with NPI taxonomy 374J00000X and Trading Partner setup for electronic claims.
Payer path: RI Medicaid Healthcare Portal / 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 Services provider pageRhode Island EOHHS Health care programsRhode Island EOHHS Health care programsRhode Island EOHHS Doula Services provider pageRhode Island EOHHS

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