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Illinois provider enrollment

How to become a Medicaid doula provider in Illinois

Check your NPI, provider type, registry or certification, payer portal, and first-claim setup.

Enrollment comes before claim entry.
NPI and provider type are only one setup item.
Managed care may add plan contracting or credentialing steps.

Enrollment checklist

Use these steps before trying to bill Illinois Medicaid doula services.

  1. Step 1Confirm the program path: Illinois Medicaid doula services.
  2. Step 2Set up provider identifiers: IMPACT provider ID / NPI.
  3. Step 3Check registry or certification: Illinois Medicaid-Certified Doula (SIU School of Medicine); enroll via IMPACT with taxonomy 374J00000X.
  4. Step 4Open the billing portal or plan path: IMPACT; FFS and HealthChoice Illinois MCO pathways.
  5. Step 5Before the first claim, connect setup to eligibility, visit notes, rates, and payer routing.

NPI and taxonomy check

Provider identifiers help the payer know who is billing; they do not replace the state enrollment path.

Check whether 374J00000X belongs on your doula provider record.

If Illinois Medicaid doula services or a health plan asks for the doula taxonomy code, 374J00000X is the national doula taxonomy code. Still confirm certification, enrollment status, portal access, direct or group billing, and managed care contracting before billing.

Illinois HFS lists taxonomy code 374J00000X for doula services and points doulas through certification, NPI, IMPACT enrollment, and claim setup.

Your next no-PHI step

Turn the Illinois guide into a readiness plan

Complete the free readiness check, preview the exact state sample, then get the automatic $49 Kit. No meeting, upload, or patient information.

Do not enter names, Medicaid IDs, birth dates, claim numbers, or visit notes.