Welcome

RIBWC Member Resource Hub

This page is organized step-by-step.
Start at the beginning or jump to the section you need.

Virtual Office Hours

Members can attend virtual office hours for community building and co-working, from, one or more of our board members.

RSVP required.

  • With Marlene Pineda

    To schedule

  • With Chachi Estacuy click here to schedule.

  • With Susie Finnerty click here to schedule.

Step 1: What does a doula need to do in order to accept insurance?

Actions 1-5 must be completed before enrolling with Medicaid.

  • Rhode Island Certification Board. Requirements are listed on their site. They can be contacted directly with clarification questions or doulas can bring those to office hours!

  • Apply for an NPI number here.

    VERY IMPORTANT update for those starting their businesses:

    For NPI there are 2 types:

    • Type 1 for individual providers

    • Type 2 for businesses/agencies.

      • If a doula has a business name then they must apply for both a Type 2 for the business and a Type 1 for themselves.

      • Then when enrolling for Medicaid the Type 2 enrolls as a group for billing and associates the individual to the group as the rendering provider.

    There is not a way to change this requirement.


    **The NPI name and W9/EIN name must match.**

  • Some Insurance Options:

    • Medicaid provider application is needed before becoming in network with Neighborhood, UHC & Tufts

    (see Medicaid instructions on this page)

  • Fill out CAQH application. This is needed before applying to be in network with Neighborhood Health Plan and Blue Cross of Rhode Island.

Step 2: Medicaid Provider Application

  • Initiate a new provider enrollment application here.

    • This will need to be filled out BEFORE contracting with Neighborhood, Tufts and United Healthcare. They will want a Medicaid ID number as part of their credentialing process. You will receive this number when your application is approved.
      *For those who already filled out Neighborhood’s application, please email Natalya at nalexander@nhpri.org when your Medicaid provider application has been approved.

  • Training and Instructions to fill out Medicaid Provider Application here.

  • Other Helpful Medicaid Information

Step 3: Join the Billing Service!

  • We are here! For those who are RI certified, enrolled in Medicaid and in network with at least one insurer can now sign up for our billing service. This is a $60/month service which includes access to Client Care to store all family information in compliance with HIPAA and log visits/births to be billed by our billing specialist.

  • BIPOC members have this service funded for 12 months as funding allows. These are allocated on a first come, first served basis. At this time, our organization is unable to offer this scholarship temporarily while we secure additional funding. Please reach out to info@ribirthworkercoop.com for any questions or support if you need. This page will be updated once the scholarship is available again.

  • There is no certain deadline for this, however, please allow for up to three days to receive your Client Care account and up to 2 weeks before seeing your first insurance client. Signing up last minute may lead to no urgent support trying to see a client on the same day and could lead to non-payment.

  • You must be an in-network provider with an insurance company BEFORE sending claims.

Important Links

  • https://www.bcbsri.com/providers/sites/providers/files/policies/2022/01/Doula%20Maternity%20Services.pdf

  • https://wpqa.nhpri.org/provider-application-doula-provider/

FAQ

  • We offer a range of solutions designed to meet your needs—whether you're just getting started or scaling something bigger. Everything is tailored to help you move forward with clarity and confidence.

  • Getting started is simple. Reach out through our contact form or schedule a call—we’ll walk you through the next steps and answer any questions along the way.

  • We combine a thoughtful, human-centered approach with clear communication and reliable results. It’s not just what we do—it’s how we do it that sets us apart.

  • You can reach us anytime via our contact page or email. We aim to respond quickly—usually within one business day.

  • We offer flexible pricing based on project type and complexity. After an initial conversation, we’ll provide a transparent quote with no hidden costs.

  • Collaborative, honest, and straightforward. We're here to guide the process, bring ideas to the table, and keep things moving.