How to Apply

Eligibility & Requirements:

All doulas must be at least 18 years old, possess an adult/infant cardiopulmonary resuscitation (CPR) certification, complete a basic Health Insurance Portability and Accountability Act (HIPAA) training and have attended a minimum of 3 births.


In addition, a doula must meet requirements for either of the following qualification pathways:

Training Pathway:

  • Complete a minimum of 16 hours of training in the following areas: 
    • Lactation support 
    • Childbirth education 
    • Foundations on anatomy of pregnancy and childbirth 
    • Non-medical comfort measures
    • Prenatal support and labor support techniques 
    • Developing a community resource list 
  • Attest that you have provided support as a doula at a minimum of three births

Experience Pathway: 

  • At least five years of active doula experience in either a paid or volunteer capacity within the previous seven years. 
  • Attestation to skills in prenatal, labor, and postpartum care as demonstrated by three written client testimonial letters or professional letters of recommendation from any of the following: a physician, licensed behavioral health provider, nurse practitioner, nurse midwife, licensed midwife, enrolled doula, or community-based organization.
    • Letters must be written within the last seven years. 
    • One letter must be from either a licensed provider, a community-based organization, or an enrolled doula.

Steps to Become a Medi-Cal Doula Provider…

  • Apply for your (National Provider Identifier (NPI) through this website

  • You must have an NPI in order enroll as a Med-Cal Doula and to bill for services.

  • Individuals or organizations apply for NPIs through the CMS National Plan and Provider Enumeration System (NPPES). After they supply an NPI, they publish the parts of the NPI record that have public relevance, including the provider’s name, specialty (taxonomy) and practice address.

  • Need more information?

Training Pathway

  • Gather your Doula Training Certificate of Completion 
  • If you don’t have a certificate or it does not detail the total number of hours completed (or if the total is less than 16 hours) and topics completed, you are required to provide a syllabus from the completed training/s and complete the applicable attestation within the application portal.

Experience Pathway

  • You can take any basic HIPAA training to meet this requirement
  • American Red Cross 
    • To receive a valid 2-year Red Cross digital certificate that is OSHA compliant and meets other workplace and regulatory requirements you must enroll in an instructor-led skill session within 90 days of completing the online course which is an additional cost.
  • American Heart Association
    • You must complete the online portion, followed by the hands-on skills session conducted by an American Heart Association Training Center Instructor (sold separately), to receive a Heartsaver First Aid CPR AED Course Completion card, valid for two years.
  • Create a PAVE account
  • Upload required documents 
  • Complete and submit application for DHCS review

Once you are approved continue on to Step 8

  • Find the managed care plan(s) that serve families with Medi-Cal in your area
  • Contact them to begin the contracting process and identify their requirements
  • Get a quote for Professional Liability Insurance for Doulas.  Purchase only after direct guidance from the managed care plan, regarding what type of insurance you need, if necessary. Note that some Managed Care Plans may also require General Liability Insurance.
  • As you prepare to begin serving clients we suggest you review the processes for 
    • Submitting billing
    • What records are required by Medi-Cal and the managed care plans that you’re contracted with
    • Ensure your systems meet HIPAA requirements
    • Support yourself to ensure you’re responsive to your own capacity
    • Connect with other Medi-Cal doulas in your area to network and refer clients to