Provider enrollment for doulas

Washington State Health Care Authority sent this bulletin at 02/13/2025 07:30 AM PST

February 13, 2025

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Provider enrollment overview for doulas

To become an Apple Health (Medicaid) billing provider, birth doulas must:

Apply to become a Washington state certified birth doula through Washington Department of Health
Obtain their National Provider Identifier number (NPI)

Enrolling as a billing provider

The birth doula billing and fee schedules are available on the HCA website.

Required documents for all Apple Health billing providers

Signed Core Provider Agreement
Signed Debarment Statement
Signed copy of Internal Revenue Services (IRS) Form W-9
Copy of the Washington state birth doula certification

Electronic Funds Transfer information and a signature is gathered during the enrollment steps in ProviderOne. Signatures on the listed documents are required for the form to be considered complete.

Doulas enrolling as an individual billing provider also need to:

Obtain a business license
Obtain professional liability insurance
Enroll using their individual NPI

Doulas enrolling as a group or facility, agency, organization, institution (FAOI) billing provider also need to:

Obtain a business license
Obtain professional liability insurance
Enroll using organizational NPI

The Health Care Authority (HCA) recommends having a copy of the Washington state birth doula certification, business license, and completed copies of all required documents prior to starting the ProviderOne application.

Visit the enroll as a billing provider webpage

ProviderOne user manuals

View the ProviderOne user manuals for further guidance about enrollment.

View ProviderOne user manuals

Need assistance?

Phone: 1-800-562-3022, ext. 16137

Provider Enrollment phones are open Tuesdays and Thursdays from 7:30 a.m. - 4:30 p.m.
Phone are closed from noon to 1 p.m. and closed on Mondays, Wednesdays, and Fridays.

About the Health Care Authority (HCA)

Functioning as both the state's largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible.

There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery. Under these pillars, HCA purchases health care, including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents.

Please do not reply directly to this message. For more information, visit the HCA website, where you'll also find contact information.

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Nondiscrimination

The Washington State Health Care Authority (HCA) complies with all applicable federal and Washington state civil rights laws and is committed to providing equal access to our services. Visit HCA’s website to view complete nondiscrimination statements.