MedicaidCoverageMedium impact
23-108 Recommend Doula Services to Pregnant and Postpartum Medi-Cal Members
Health Net·CA · OB-GYN, Family Medicine, Internal Medicine +1 more·Prior Authorization
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
Effective January 1, 2023, physicians and licensed practitioners must recommend doula services to eligible pregnant and postpartum Medi-Cal members in Fresno, Kings, and Madera counties. The initial recommendation authorizes up to 9 visits plus labor/delivery support, with a second recommendation required for additional postpartum visits.
Action Required
Immediately: Providers caring for pregnant/postpartum Medi-Cal members in Fresno, Kings, and Madera counties must establish workflow to recommend doula services. Create documentation templates for initial recommendations (written record, standing order, or signed form/letter). Billing team should verify member eligibility with CalViva Health at 888-893-1569 before services. Update EMR to track recommendations and coordinate with doulas for covered services.