11202.1 To provide Medicaid-reimbursable doula services an individual providing doula services must:

(a) Be at least eighteen (18) years of age;

(b) Possess a high school diploma or equivalent;

(c) Possess a current certification from a doula-certifying entity approved by DHCF and listed at dcpdms.com; and

(d) Enroll as a Medicaid provider pursuant to Chapter 94 of Title 29 DCMR; and

(e) Complete an orientation session on billing provided by DHCF or its agent.

11202.2 To enroll as a Medicaid provider, a doula shall comply with all provider screening and enrollment requirements set forth under Chapter 94 (Medicaid Provider and Supplier Screening, Enrollment, and Termination) of Title 29 DCMR.

11202.3 If a doula who meets the qualifications in Section 11202.1 or 11202.2 is employed by or has a contract with an entity that provides doula services, that entity is permitted to enroll and bill for doula services on the behalf of contracted doulas.

SOURCE: Final Rulemaking published at 69 DCR 014819 (December 2, 2022).