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Rhode Island provider enrollment

How to become a Medicaid doula provider in Rhode Island

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 Rhode Island Medicaid doula services.

  1. Step 1Confirm the program path: Rhode Island Medicaid doula services.
  2. Step 2Set up provider identifiers: RI Medicaid provider ID / NPI.
  3. Step 3Check registry or certification: RICB-certified perinatal doulas enroll through the RI Medicaid Healthcare Portal with NPI taxonomy 374J00000X and Trading Partner setup for electronic claims.
  4. Step 4Open the billing portal or plan path: RI Medicaid Healthcare Portal / 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 Rhode Island 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.

Rhode Island EOHHS says doula applicants need an NPI with doula taxonomy 374J00000X associated to it, plus the state-required certificate and W-9.

Your next no-PHI step

Choose a state to start

Select your state to see setup steps and official sources.

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