Birthworker (Doula) Hub

Information regarding the Doula voluntary certification and licensure through the Arizona Department of Health Services. Refer to slides 53-66 of the above PowerPoint.

• Arizona Department of Health Services (ADHS) Doula Home Page
• ADHS Doula Licensing Information
• Doula Certification Initial Application Checklist
• Certified Doula Fee Table
• Current Federal Poverty Guidelines

Documents Required

• Doula Code of Ethics Agreement
• Doula High School/High School Equivalency Attestation

Reciprocity Initial Applications for Out-of-State Licensure

• Doula Reciprocity Application Checklist
• Attestation of Licensure in Another State
• Doula Reciprocity Application

Pathway 1

• Birth Observation Form
• Primary Doula Attestation
• Doula Competency Attestation – demonstrating at least 30 hours of in-person instruction or a combination of in-person and online instruction in core competency topics

Pathway 2

• Birth Observation Form
• Primary Doula Attestation
•Proof of current certification from a nationally recognized Doula organization

Pathway 3

• Birth Observation Form
• Primary Doula Attestation
• Doula Competency Attestation – demonstrating community training in non-western Doula practices and confirmation of completed core competency training through culturally specific training or education

Pathway 4

• Birth Observation Form
• Primary Doula Attestation
• Doula Competency Attestation – demonstrating other related individualized or experiential training or education and confirmation of completed core competency training through culturally specific training or education

Pathway 5

For practicing Doulas working in the state for at least five (5) years before September 29, 2021.

• Proof of current certification from a nationally recognized doula organization
• Letters of Recommendation Form

Renewal Applications

• Continuing Education Attestation

Changes Affecting a License

• Doula Modification Application Address/Name Change
• Doula Replacement/Duplicate Certificate Request

In order to become an AHCCCS registered provider, the first step is achieving the ADHS Doula Voluntary Certification. Refer to slides 67-76 of the above PowerPoint.

• AHCCCS Doula Home Page
• AHCCCS Online Provider Portal
• Provider Enrollment Policy Manual

Step 1: Prepare Documentation in Advance

• W9 Tax Form
• Current professional certifications or licensures
• Any provider intending to operate within the boundaries of Tribal lands must have an active, valid Tribal Business License
• Doula Profile Form (not yet attached)
• Provider basic information

Step 2: Register with the AHCCCS Provider Enrollment Portal

• Register with APEP
• AHCCCS Provider Enrollment Portal (APEP)

Step 3: Make Sure You Have Read Required Documentation

• Provider Participation Agreement

Here, we provide basic information on next steps after successfully registering as an AHCCCS provider. Refer to slides 77-84 of the above PowerPoint.

AHCCCS Provider Welcome Letter

• Providing Services to Fee-for-Service (FFS) Members can immediately begin.
• Providing Services to MCO Members will require a separate contract with the health plan.
• AHCCCS Available Health Plans
• Responsibility to report changes like: changes in ownership, changes in correspondence (email, physical address, etc.), pay-to and service location changes & licensure actions

• Responsibility to stay up-to-date on information: policy and billing manuals, newsletters and bulletins, fee schedules, Medicaid email notification options, various training resources.
• AHCCCS Email Notification Sign-Up

• Responsibility to stay up-to-date on policies and manuals
• AHCCCS Medical Policy Manual (AMPM)
• AHCCCS Contractor’s Operation Manual (ACOM)
• Fee-for-Service Provider Billing Manual
• IHS/Tribal Provider Billing Manual

• Billing for services and AHCCCS Online Provider Portal
• AHCCCS Online Provider Portal

• Affordable Care Act of 2010 information