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ENROLLMENT FORM
Doula Enrollment Instructions

To update information for the NYS Medicaid Fee-for-Service Doula Directory, click here.

Category(s) of Service: 0464

  Application Fee is NOT Required  

Provider Index > Doula (Perinatal) > Billing Medicaid

Provider Enrollment & Maintenance


Billing Medicaid
  • The Department of Health announces the Medicaid expansion of doula services statewide for all Medicaid fee-for-service and Medicaid Managed Care enrollees.
  • NYS Medicaid Members will be eligible for doula services up to 12 months after the end of pregnancy, regardless of pregnancy outcome.
  • Interested doulas can apply for enrollment with NYS Medicaid either through the Work Experience Pathway or Training Pathway. Pathway requirements can be reviewed here or in the Doula Services Provider Manual (once published).
  • All doulas who were enrolled as NYS Medicaid doula services providers in the doula pilot as of 2/29/2023 will have their enrollment extended through 2/28/2025, at which time they will have to revalidate according to updated revalidation requirements.
  • The Medicaid-enrolled doula services provider may be reimbursed for up to eight perinatal visits and one labor and delivery encounter per pregnancy.
  • As of 3/1/2024, all Medicaid Members will be eligible for doula services under the statewide doula services benefit regardless of the doula services they may have received with the pilot.
  • To become a doula services provider for NYS Medicaid Managed Care members, a doula must first enroll as a billing provider with the NYS Medicaid Fee-for-Service Program.
  • Once enrolled as a NYS Medicaid Fee-for-Service billing doula services provider, a doula can then reach out to the Managed Care Organizations (MCOs) to apply to join the MCO's doula provider network.
  • For more information about the statewide doula services benefit, please visit: https://www.health.ny.gov/health_care/medicaid/program/doula/index.htm.



Complete this Enrollment Form if you are:
  1. Applying for initial ENROLLMENT or ALREADY ENROLLED and enrolling another NPI, or
  2. Responding to a letter instructing you to REVALIDATE your enrollment, or
  3. Seeking REINSTATEMENT or REACTIVATION of your previous enrollment

PRACTITIONER Enrollment Form

If you have any questions or need assistance with your application, please contact the eMedNY Call Center at 1-800-343-9000 or click here to send us an email. Please note, the Medicaid Pending Provider Listing lists all applications that are in process, and the Medicaid Enrolled Provider Listing lists all enrollments that have been approved.
Last Updated: 4/2024


Supplemental Information

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