DOULA SERVICES
​​​​​​​
ENROLLMENT  
Doula services are covered Medi-Cal benefits for pregnant and postpartum individuals 
DOULA ENROLLMENT REQUIREMENTS
Any doula that formed a legal entity for their business  (LLC, corporation, partnership) will use a National Provider Identifier (NPI) Type 2 to apply to PAVE. They will select either an individual or group practice.
CLARIFYING NPIs:
The NPI type is not dependent on whether the enrollment is for an individual or a group, but depends upon how the business is organized.
  • A sole proprietor business will always use a Type 1 NPI
  • An LLC or corporation will always use a Type 2 NPI (even it if is a single person.)
STEPS TO ENROLL AS A DOULA
  1. 1 Obtain your NPI (type 1 for individuals and/or type 2 for LLCs and corporations) - for application guidance, see Preparation Steps, Step 4
  2. 2 Decide which pathway you are pursuing: training or experience (see checklist for details)
    • If training pathway, gather proof of training. Documentation must contain defined requirements, including lactation support, childbirth education, anatomy/pregnancy foundations, nonmedical comfort measures, and community resource development. Upload a syllabus if certificate lacks course hours.
    • If experience pathway, gather testimonial letters of support. You need three. At least one must be from a licensed provider, CBO, or enrolled doula. They must meet specific requirements. Download templates here.
  3. 3 Create a PAVE account
  4. 4 If you are a sole proprietor BUT organized as an LLC, corporation or partnership, you MUST enroll with a Type 2 NPI. This is the most common mistake that holds up applications. You will then also enroll yourself as an individual doula with a Type 1 NPI.
  5. 5 Upload all supporting documentation.
  6. 6 Track the status of your application through the portal. Respond quickly to follow-up inquiries from PAVE specialists.
TESTIMONIAL LETTER REQUIREMENTS
Three letters are needed. Download templates here.
 Disclaimer: This content is provided by Public Works Alliance and does not constitute official guidance from DHCS. For official program guidance, contact DHCS via the PAVE Help Desk. 
DOULA SERVICES
​​​​​​​ENROLLMENT  
DOULA ENROLLMENT REQUIREMENTS
Any doula that formed a legal entity for their business  (LLC, corporation, partnership) will use a National Provider Identifier (NPI) Type 2 to apply to PAVE. They will select either an individual or group practice.
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Provider Type: Individual Doulas who do NOT have an LLC or Corp.
PAVE Enrollment: Yes, must apply as an individual using an NPI Type 1
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Provider Type: Doulas organized as an LLC or  Corp.
PAVE Enrollment: Yes - Will use an NPI Type 2
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Clarifying NPIs:
 The NPI type is not dependent on whether the enrollment is for an individual or a group, but depends upon how the business is organized.
- A sole proprietor business will always use a Type 1 NPI
- An LLC or corporation will always use a Type 2 NPI (even it if is a single person.)

​​​​​​​ 
WHAT YOU'LL NEED TO APPLY
  • Type 1 NPI (Individual NPI) AND a Type 2 NPI if you are organized as an LLC or corporation.
  • Documentation of doula training if doing the training pathway
  • Testimonial letters (if doing the experience pathway) from an enrolled doula, CBO or qualifying licensed provider ( a physician, licensed behavioral health provider, nurse practitioner, nurse midwife, licensed midwife). See the checklist for more details.
  • Business address (it may be your residential address)
  • Business license (even if you are a sole proprietor using your residential address
  • Documentation of HIPAA and CPR Training
     
​​​​​​​TESTIMONIAL LETTER REQUIREMENTS
Three letters are needed. Download templates HERE.
You must have at least one letter​​​​​​​ from any of the following
- OPTION 1 -
FROM A COMMUNITY-BASED ORGANIZATION
Must be on the CBO's letterhead and signed by an authorized representative.
- OPTION 2 -
FROM A SPECIFIED LICENSED PROVIDER
Must be on the specified licensed provider's letterhead and include their NPI and provider type.
- OPTION 3 -
FROM AN ENROLLED DOULA
Must be on the doula's letterhead, include their NPI and address.
You must have at least two more letters​​​​​​​ from any of the following
CLIENT, CBO, ENROLLED DOULA, SPECIFIED LICENSED PROVIDER
IMPORTANT: Testimonial letters must contain NO protected health information or confidential patient information.
STEPS TO ENROLL AS A DOULA
  1. 1 Obtain your NPI (type 1 for individuals and/or type 2 for LLCs and corporations) - for application guidance, see Preparation Steps, Step 4
  2. 2 Decide which pathway you are pursuing: training or experience (see checklist for details)
    • If training pathway, gather proof of training. Documentation must contain defined requirements, including lactation support, childbirth education, anatomy/pregnancy foundations, nonmedical comfort measures, and community resource development. Upload a syllabus if certificate lacks course hours.
    • If experience pathway, gather testimonial letters of support. You need three. At least one must be from a licensed provider, CBO, or enrolled doula. They must meet specific requirements. Download templates here.
  3. 3 Create a PAVE account
  4. 4 If you are a sole proprietor BUT organized as an LLC, corporation or partnership, you MUST enroll with a Type 2 NPI. This is the most common mistake that holds up applications. You will then also enroll yourself as an individual doula with a Type 1 NPI.
  5. 5 Upload all supporting documentation.
  6. 6 Track the status of your application through the portal. Respond quickly to follow-up inquiries from PAVE specialists.
NAVIGATION MENU
SERVICE-SPECIFIC GUIDES:
 Disclaimer: This content is provided by Public Works Alliance and does not constitute official guidance from DHCS. For official program guidance, contact DHCS via the PAVE Help Desk. 
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Public Works Alliance
801 Cold Spring Rd
Santa Barbara, CA 93108
info@publicworksalliance.org
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801 Cold Spring Rd
Santa Barbara, CA 93108
info@publicworksalliance.org
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