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

Start with Utah 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.

Utah referral requirements

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

Use Utah 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: Utah Medicaid doula services
Referral or recommendation: Follow PRISM PAC 180 coverage limits: T1032 is limited to 32 units per year for pregnancy/postpartum support and T1033 is limited to one labor support unit per year.
Registry or provider setup: Complete the Utah Medicaid Doula Provider Attestation and enroll in PRISM under the new doula provider type with an individual NPI.
Payer path: PRISM (Utah Medicaid)

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

Utah Medicaid Doula Provider AttestationUtah Department of Health and Human Services / Medicaid

Choose another state