A birth doula must satisfy HCA enrollment requirements before billing Apple Health.
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- DoulaPaid checks certification, NPI, ProviderOne enrollment, and official next steps.
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Washington HCA requirement checks
Compare HCA requirements with DoulaPaid provider-readiness checks and official sources.
Check certification, NPI, ProviderOne enrollment, and payer routing.
Eligible managed-care and fee-for-service claims use ProviderOne fee-for-service billing.
First-Claim Dry Run and Billing Copilot are not available in Washington.
Requirement checks
HCA does not approve or endorse DoulaPaid. Confirm every requirement with the official source. Payment is not guaranteed.
| HCA requirement | DoulaPaid check | Official source |
|---|---|---|
A birth doula must satisfy HCA enrollment requirements before billing Apple Health. | DoulaPaid checks certification, NPI, ProviderOne enrollment, and official next steps. | Washington HCA Birth Doula Services Billing Guide, effective July 1, 2026 |
HCA pays covered birth-doula services through fee-for-service for eligible managed-care and fee-for-service clients. | DoulaPaid lists ProviderOne fee-for-service as the Washington billing route. It does not offer a named managed-care review without an official source. | Washington Administrative Code 182-533-0670 |
The HCA birth doula billing guide does not list one place-of-service code for all birth doula claims. | DoulaPaid does not infer a place of service from setting language or from guidance written for a dual-licensed midwife/doula. | Washington HCA Birth Doula Services Billing Guide, effective July 1, 2026 |
A claim review requires an official code, modifier, place of service, unit rule, and billing area. | First-Claim Dry Run is unavailable in Washington because official sources do not list every required claim value. | Washington HCA Provider Billing Guides and Fee Schedules |
Billing guidance must not create unsupported Washington claim combinations. | Billing Copilot is unavailable in Washington because official sources do not list every required claim value. | Washington HCA Provider Billing Guides and Fee Schedules |
Provider readiness does not require client identity, eligibility, service, or claim records. | Washington readiness questions use provider billing selections only. There are no upload, patient, member, visit-note, or claim-number fields. | Washington HCA Birth Doula Services Billing Guide, effective July 1, 2026 |
Client documentation and claim submission remain in the provider's own approved systems. | DoulaPaid does not request or store client records, visit notes, portal messages, screenshots, EOBs, or claim packets. | Washington HCA Birth Doula Services Billing Guide, effective July 1, 2026 |
Check the current HCA billing guide index before changing Washington billing guidance. | Affected reviews pause when an official Washington source changes. They resume after the current rule is verified. | Washington HCA Provider Billing Guides and Fee Schedules |
HCA and ProviderOne make enrollment, coverage, and payment decisions. | DoulaPaid provides a provider setup plan linked to official sources. It does not submit claims, make payer decisions, or guarantee enrollment or payment. | Washington HCA Birth Doula Services Billing Guide, effective July 1, 2026 |
HCA pays covered birth-doula services through fee-for-service for eligible managed-care and fee-for-service clients.
- DoulaPaid check
- DoulaPaid lists ProviderOne fee-for-service as the Washington billing route. It does not offer a named managed-care review without an official source.
The HCA birth doula billing guide does not list one place-of-service code for all birth doula claims.
- DoulaPaid check
- DoulaPaid does not infer a place of service from setting language or from guidance written for a dual-licensed midwife/doula.
A claim review requires an official code, modifier, place of service, unit rule, and billing area.
- DoulaPaid check
- First-Claim Dry Run is unavailable in Washington because official sources do not list every required claim value.
Billing guidance must not create unsupported Washington claim combinations.
- DoulaPaid check
- Billing Copilot is unavailable in Washington because official sources do not list every required claim value.
Provider readiness does not require client identity, eligibility, service, or claim records.
- DoulaPaid check
- Washington readiness questions use provider billing selections only. There are no upload, patient, member, visit-note, or claim-number fields.
Client documentation and claim submission remain in the provider's own approved systems.
- DoulaPaid check
- DoulaPaid does not request or store client records, visit notes, portal messages, screenshots, EOBs, or claim packets.
Check the current HCA billing guide index before changing Washington billing guidance.
- DoulaPaid check
- Affected reviews pause when an official Washington source changes. They resume after the current rule is verified.
HCA and ProviderOne make enrollment, coverage, and payment decisions.
- DoulaPaid check
- DoulaPaid provides a provider setup plan linked to official sources. It does not submit claims, make payer decisions, or guarantee enrollment or payment.
Official Washington sources
Confirm current HCA rules before changing provider setup or preparing a claim in your approved billing system.