D.C. Mun. Regs. tit. 29, r. 29-11202

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

Rule 29-11202 - PROVIDER SCREENING AND ENROLLMENT

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.

D.C. Mun. Regs. tit. 29, r. 29-11202

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