Medi-Cal Doula Benefit Stakeholder Coalition
During the process of working with DHCS to develop the Doula Benefit a group of stakeholders has come together to present a cohesive message and recommendations. We will use this page as an opportunity to share with the public what we have discussed and how we have come to the recommendations put forth. These recommendations come from countless hours of discussion, resources pulled from other states, as well as extensive experience and knowledge from participants. If you have any questions or concerns please reach out.
Draft State Plan Amendment
Feedback from Stakeholders
Recommendations on Reimbursement
Additional Info & Documentation
March 2022 NHeLP California Doula Pilots Lessons Learned project
- collects a series of three publications, a panel discussion, and other resources around the implementation of ten doula pilot programs here in California focused on addressing racial health disparities, and in particular on providing free doula services to either Black pregnant and birthing people or Medicaid enrollees
- This was the result of a survey and focus groups with doulas across the state, specifically about their thoughts, concerns, and other input around Medi-Cal coverage for doula care. The report, as well as a series of fact sheets, timeline, and perhaps most importantly, a list of recommendations, can all be found HERE
November 2021 story in The Sacramento Bee
March 2022 article in the LAist
Washington Post/The Lily series on Medicaid coverage of doula care, The State of Doula Care noting in particular:
- Oregon & Minnesota
- specifically the very low uptake on benefits in those states, due in part to very low reimbursement rates. Oregon since 2016 has "paid doulas less than $37,000 for supporting Medicaid clients through prenatal and postpartum visits and approximately 204 births," (19,000 people/year give birth on Medicaid in Oregon), and Minnesota since 2014 has "paid doulas less than $354,000 for supporting Medicaid clients through prenatal and postpartum visits and more than 850 births" (26,000 people/year give birth on Medicaid in Minnesota).
Publication from Ancient Song Doula Services, Village Birth International, and Every Mother Counts in New York: Advancing Birth Justice: Community-Based Doula Models as a Standard of Care for Ending Racial Disparities.
- Terrific for understanding the importance of community-based doula models and also clear explanation about the importance of sustainable reimbursement rates. Section on reimbursement starts on p. 17.
Community Feedback and Communication
Please use this form to reach out if you have any questions, comments, concerns, or feedback. We want to ensure that birthworkers and the community are heard and represented on all aspects of this implementation effort, so please don't hesitate to provide any and all feedback here so that we may pass on your concerns and support.