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Virginia provider enrollment

How to become a Medicaid doula provider in Virginia

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 Virginia Medicaid doula services.

  1. Step 1Confirm the program path: Virginia Medicaid doula services.
  2. Step 2Set up provider identifiers: Virginia Medicaid provider ID / NPI.
  3. Step 3Check registry or certification: Doulas must hold Virginia Certification Board state certification, obtain an individual NPI, enroll as a Virginia Medicaid provider, carry required liability insurance, and contract with MCOs when serving managed-care members.
  4. Step 4Open the billing portal or plan path: DMAS MES / Cardinal Care 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 Virginia 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.

Your next no-PHI step

Turn the Virginia 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.