Skills Outside Health Plan, DHCS, and DMHC Defined Benefit

Skills Outside Health Plan, DHCS, and DMHC Defined Benefit

Doulas may have many skills. Only some of those skills are covered under the Medi-Cal or commercial insurance doula benefit.

Covered services and non-covered services must never be mixed in documentation or billing.

Services Outside the Doula Benefit

Some Raya Health doulas hold additional certifications or provide other services beyond non-medical doula support. These may include, but are not limited to:

• Childbirth education classes, group or individual
• Lactation consulting as a licensed IBCLC or similar
• Massage therapy or bodywork beyond basic comfort measures
• Mental health counseling or therapy
• Homeopathy, herbal therapy, prescribing supplements, or alternative health practices
• Private coaching or consulting
• Abdominal binding or belly wrapping as a therapeutic intervention
• Reiki, energy healing, or spiritual healing session
• Aromatherapy used as a treatment vs general comfort
• Placenta encapsulation, ingestion, or preparation; placental burial ceremonies
• Vaginal steaming—Yoni steaming or traditional
• Infant massage instruction billed as therapy
• Tongue tie assessments
• Photography or videography

If it is deemed necessary to include something in the medical chart, here is an example of how this could be documented:

"Patient asked about placenta encapsulation. Provided emotional support and encouraged discussion with clinical provider. Shared non-directive information and respected patient preferences. Services will be arranged and paid for outside Raya Health."

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