D.C. Mun. Regs. tit. 29, r. 29-11201

Current through Register Vol. 71, No. 49, December 6, 2024

Rule 29-11201 - SCOPE OF SERVICES

11201.1

Doula services are provided during the perinatal and postpartum periods of a beneficiary's pregnancy and provide support to the birthing parent throughout the pregnancy and postpartum periods to improve maternal health outcomes.

11201.2

The following doula services, included in this chapter, shall be provided consistently with the regulations set forth herein:

(a) During the perinatal period (before, during, and up to six (6) weeks after delivery), services shall include:

(1) Perinatal counseling and education, including infant care, to prevent adverse outcomes;

(2) Labor support and attendance at delivery, including the development of a birth plan; and

(3) Coordination with community-based services to improve beneficiary outcomes; and

(b) During the doula services postpartum period (beginning on the last day of pregnancy and extending through the end of the calendar month in which one hundred eighty (180) days after the end of the pregnancy falls), services shall include:

(1) Visits with the beneficiary to provide basic infant care;

(2) Accompanying the beneficiary to a clinician visit;

(3) Lactation support; and

(4) Emotional and physical support.

11201.3

Doula services shall be limited to a total of twelve (12) doula visits, across the perinatal (including labor and delivery) and postpartum periods, for each pregnancy.

11201.4

Each beneficiary is entitled to a maximum of one (1) doula consultation visit, which is counted toward their twelve (12) doula visits limit.

11201.5

In order to be eligible for Medicaid reimbursement, doula services shall be recommended by a physician or other licensed practitioner of the healing arts within their scope of practice under District law. This includes recommendations for doula services from the providing doula or any other licensed doula.

11201.6

Doula services may be provided in a clinic, physician's office, freestanding birth center, or the home, or via telehealth (when appropriate).

D.C. Mun. Regs. tit. 29, r. 29-11201

Final Rulemaking published at 69 DCR 14819 (12/2/2022)