How to enroll as a Medicaid doula in Oregon
Oregon Health Plan (Traditional Health Worker program) · coverage since 2014 · last checked July 25, 2026
Oregon began covering doula services through Medicaid in 2014. The program pays a $1,505 global rate for two prenatal visits, birth attendance, and two postpartum visits, plus up to four additional visits at $215 each. Enrollment requires Traditional Health Worker registry certification, a Type 1 NPI, and OHP provider enrollment. More than 90% of members receive care through regional coordinated care organizations, so doulas must arrange payment with the member's CCO or an available local hub.
What Medicaid pays
$1,505 global rate; $2,365 with all 4 additional visits
- $1,505 global rate: 2 prenatal visits, birth attendance, and 2 postpartum visits
- $215 per additional support visit (up to 4 more, any prenatal/postpartum mix, through 12 months postpartum); $645 for date-of-delivery-only support
- The full global service plus 4 additional visits totals $2,365
Global benefit = 2 prenatal + 2 postpartum visits + day-of-delivery support, plus up to 4 additional billable visits within 12 months of the end of pregnancy.
Who can apply
- OHA-approved training under OAR 950-060-0150: 28 in-person core hours, 6 hours of cultural competency, 1 hour of interprofessional education, 1 hour of HIPAA training, and 4 hours of trauma-informed care
- Documented attendance at 3 births and 3 postpartum visits, adult and infant CPR, 1.5 hours of oral-health training, a community resource list, and a background check
- Traditional Health Worker Registry certification, valid 36 months with continuing education to renew
- Reciprocity is currently limited to qualifying birth doula certifications from Alaska and Idaho. Oregon paused Washington reciprocity on February 11, 2026
How to enroll
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Step 1
Complete an OHA-approved training and document your births
Complete the 40-hour curriculum, CPR and oral-health training, then document 3 births and 3 postpartum visits on OHA's forms. Prepare the required community resource list.
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Step 2
Get certified on the THW Registry
Through OHA's Equity & Inclusion Division. Certification lasts 36 months; renewals need CE.
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Step 3
Get your free Type 1 NPI
NPPES, taxonomy 374J00000X.
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Step 4
Enroll as an OHP Medicaid provider
Form OHP 3113, provider type 13, specialty code 600, with your THW certification attached, managed through the OHA MMIS Provider Portal.
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Step 5
Arrange payment with the member's CCO or a local hub
Bill OHA directly for fee-for-service members. More than 90% of OHP members are in one of 16 regional CCOs. Contact the member's CCO about joining its network, or ask whether a local doula hub can contract and bill on your behalf.
How you get paid
Oregon does not have one statewide doula administrator. Each CCO serves a region and sets its own network process. A regional doula hub may manage referrals and claims for participating doulas where one is available; otherwise, contact the member's CCO directly.
What to plan for
More than 90% of members are assigned to regional CCOs, and there is no single statewide contracting path. A local hub can simplify referrals and claims where one is available. OHA also says it cannot currently process legacy-clause applications because the temporary rule expired.
Where to get help
- OHA Traditional Health Worker, Doula (certification, registry, and program contacts)
- Oregon Doula Association (provider and community resources)
- OHA Birth Doula Billing Guide (the authoritative billing reference (Jan 2025 edition))
Sources and last checked
We checked these details on July 25, 2026.
- OHA Traditional Health Worker certification rules (OAR 950-060)
- OHA Birth Doula FFS Billing Guide (Jan 2025)
- OHA coordinated care organization information for providers
This is general educational information, not legal, billing, or enrollment advice. Rules and rates can change between reviews. Confirm the current provider manual, payment schedule, and health-plan contract before you apply or bill. Junie can create a payment receipt labeled as a superbill, but the current output derives its dates and descriptions from payment records and must be checked against the recipient's requirements. A superbill is not a Medicaid claim. Junie does not currently enroll providers in Medicaid or submit Medicaid claims. Found an error? Email hello@junie.app.