How to enroll as a Medicaid doula in Rhode Island
RI Medicaid (EOHHS) · coverage since July 1, 2022 · last checked July 25, 2026
Rhode Island has covered perinatal doula services since July 1, 2022. Medicaid pays up to $1,500 per pregnancy for six visits and labor and delivery support. Enrollment requires the Rhode Island Certification Board credential, a Type 1 NPI, Gainwell enrollment, and contracts with the three Medicaid managed care plans.
What Medicaid pays
Up to $1,500 per pregnancy (6 visits × $100 + $900 birth)
- $100 per prenatal or postpartum visit, up to 6 visits (typically 3 + 3), available through 12 months postpartum and for any pregnancy outcome
- $900 for labor & delivery support
- Rhode Island also requires qualifying fully insured commercial plans to cover doula care. Confirm the current terms with each plan
Up to 3 prenatal visits, labor and delivery, and up to 3 postpartum visits through 12 months postpartum. Unused prenatal or delivery-related visit slots may shift to postpartum care, allowing up to 7 postpartum visits in the circumstances described by the provider manual.
Who can apply
- Certified Perinatal Doula (CPD) through the Rhode Island Certification Board: 20 training hours (doula training, breastfeeding, childbirth education, cultural competency, HIPAA), current adult+infant CPR, and ServSafe
- $50 application fee, ~10 business days review; recertify every 2 years ($50 + 15 CE hours)
- Free Type 1 NPI with taxonomy 374J00000X attached (EOHHS requires this taxonomy explicitly)
How to enroll
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Step 1
Earn the RICB Certified Perinatal Doula credential
The 20-hour requirement mix is specific (including 3 hours cultural competency and 1 hour HIPAA): ricertboard.org lists exactly what counts.
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Step 2
Get your free Type 1 NPI
NPPES, taxonomy 374J00000X. EOHHS checks for it.
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Step 3
Enroll via the RI Medicaid Healthcare Portal
Run by fiscal agent Gainwell Technologies; enrollment questions go to rienrollment@gainwelltechnologies.com. No published processing timeline.
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Step 4
Contract with the three Medicaid managed care plans
Rhode Island's active plans are Neighborhood Health Plan of Rhode Island, Tufts Health Public Plans, and UnitedHealthcare Community Plan. Each plan has its own enrollment or contracting process.
How you get paid
Rhode Island has three active Medicaid managed care plans: Neighborhood Health Plan of Rhode Island, Tufts Health Public Plans, and UnitedHealthcare Community Plan. State enrollment does not replace the plan contract. Follow EOHHS's managed care enrollment instructions for every plan you intend to bill.
What to plan for
Gainwell enrollment is the state step. You must then complete the current process for each of Rhode Island's three managed care plans that you intend to bill.
Where to get help
- EOHHS doula services (the benefit page, provider manual, and enrollment references)
- Rhode Island Certification Board (CPD) (the required certification and its application)
- RI Birth Worker Cooperative (doula-owned co-op: in-network help plus an optional full billing service)
Sources and last checked
We checked these details on July 25, 2026.
- EOHHS Doula Services Provider Manual
- RICB Certified Perinatal Doula requirements
- EOHHS Medicaid managed care plans
- EOHHS managed care provider enrollment
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.