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MedicaidAdministrativeLow impact

24-876 Working Together with Doulas to Reduce Barriers to Providing Services

Health Net·CA · OB-GYN, Family Medicine·Reimbursement
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

Health Net has updated their doula services contracting process for Medi-Cal members, streamlining requirements and implementing retroactive payments for the 2024 Targeted Rate Increase (TRI) back to January 1, 2024. The policy clarifies that doulas only need DHCS PAVE enrollment approval and eliminates additional documentation requirements.

Action Required

Action needed
Billing team should note that doula providers contracting with Health Net for Medi-Cal services in Imperial County will receive retroactive TRI payments by end of year 2024. Verify doula providers have proper DHCS PAVE enrollment and NPI numbers for billing. Contact Community Health Plan of Imperial Valley at 833-236-4141 for questions about doula services billing.

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