Becoming a Medicaid provider
- Must be 18 years old
- Hold a current birth doula certificate (see notes)
- Obtain your NPI Number
- Purchase liability insurance
- Submit provider application to MMAC
- Receive MMAC approval (may take several weeks)
- Apply to join Healthy Blue and Homestate Health within Availity (see notes)
- United Healthcare: Enroll in One Healthcare
- Apply to join United Healthcare within their Provider Platform
Notes
- Doula training must cover core competencies as stated in the Missouri Doula Guide.
- After applying to Healthy Blue, IMMEDIATELY go back in to see additional documents.
- Make sure to FULLY fill out every form Homestate Health requests when they contact you.
- Here is one option for affordable liability insurance for doulas: CM&F Group.
- The managed care companies may require you to be CPR certified.
- The managed care companies may require you to have HIPAA compliance training.
- For help with the MMAC application, see our MMAC Guide.
- For help with the Healthy Blue application, see our Healthy Blue Guide.
- For help with the Homestate Health application, see our Homestate Health Guide.
- For help with the United Healthcare application, see our United Healthcare Guide.
Helpful links
Doula Guide
View instructions on applying as a Medicaid Provider, a list of pre-approved training organizations, a list of core competencies for doula training, billing information, and more.
General Manual
View the General Sections Manual for information that applies to all MO HealthNet Fee-For-Service programs.
PAMR Report
The Pregnancy-Associated Mortality Review program is designed to improve data collection and reporting of maternal deaths in Missouri.