The times are changing!
Please read and re-read carefully.
Doulas do see the landscape changing in regard to our services being covered through our expectant moms health insurance.
Your mom should still pay you for your services then you can repay her if you do get reimbursed. It may take several attempts to submit and resubmit until our services become customary and routine as other providers.
Here are the steps.
Do not take any short cuts!
One needs to obtain :
Obtain a national 1500 claim form to be completed with your assistance and client go to:
http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/form_cms-1500_fact_sheet.pdf
1.a copy of their clients health insurance card front and back.
2. Get pre-authorization from individual health insurance company. You need to call several times be persistent.
3. Obtain your NPI # and https://npiregistry.cms.hhs.gov/NPPESRegistry/NPIRegistryHome.do
4. Include a copy of your Doula certification
5. Complete their state uniform Credentialing form (I have the name and address of the director) to be sent certified mail return receipt.
.http://www.caqh.org/pdf/CAQH_Provider_Applicationv5_2006-10-31.pdf
6. Once you have your CAQH # it will follow you through your career as a Doula. So does your NPI #.
Http://www.cms.gov/Outreach-and-Education/Medicare-Learning-NetworkMLN/MLNProducts/downloads/form_cms-1500_fact_sheet.pdfr update at
I am in direct contact with Dona International and their 3rd party reimbursement department. Showing our mass numbers of nationwide doulas we need to unite and show the insurance companies we make difference in the quality of care for our moms.
When a women becomes pregnant she immediately chooses a good OBGYN,
a pediatrician, or midwife.
The Doula should be as important and your mom and her family deserve your best professional support.
For one to be in network means less financial outlay for your moms. How fabulous would that be?
Your input and attention to becoming a provider will be recognized on a national level.
Whatever it takes to be available and make it easier for an expectant mom is most important to me.
I realize the process is extensive, but having the ability to be an in network provider has many advantages not only for your moms but for yourself.
Contact me for further information.
I have an important address where your NPI and CAHQ number need to sent register mail with a return receipt.
Please share this post with your sister doulas.
We have such a wonderful opportunity to make a real difference in an expectant moms labor, delivery and future health care.
Email me: deva428@comcast.net
Please call be as a "back up" Doula.
Regards,
Dale Kaplan
Coola Doula
Happiest Baby on the Block instructor
www.cooladoula.com
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