(1) Providers must fulfill the documentation requirements found in WAC 182-502-0020 and the medicaid agency's current birth doula services billing guide.
(2) Each provider must maintain a client health care record for each client that states the services provided and justifies how those services support provider reimbursement.
(3) The following must be documented in the client's health record:
(a) Consent to services to be signed at the initiation of care;
(b) The date and time/duration of services and information substantiating the time/duration of services;
(c) The nature of the care and service(s) provided;
(d) Any coordination with medical or other care providers;
(e) Any referrals and coordination efforts with community resources or community supports;
(f) If screening is provided using a validated screening tool, the name of the tool, the score, and any communication following a positive screening including referrals to community resources, coordination with clinical team, etc.;
(g) If the client changes their birth doula; and
(h) The following required components of the prenatal intake visit:
(i) The date and time/duration of services, minimum two-hour visit;
(ii) A completed and signed consent for services form;
(iii) Provide an overview of the apple health birth doula benefit;
(iv) Co-design a plan of care across antepartum, delivery, and postpartum periods, as appropriate;
(v) Initiate discussion and implementation of birth plan or client/family preferences for care;
(vi) Support the client in establishing care as needed, including clinical pregnancy care, behavioral health services, dental services, etc. Coordinate with the managed care organization if needed to assist the client in accessing desired services, timely appointments, or any other care coordination or case management need;
(vii) Review the client's health history including any previous pregnancies, births, and loss of life;
(viii) Coordinate with medical providers regarding mental and emotional health screenings, and if appropriate, support symptom reduction through care navigation or peer support;
(ix) Review social determinants of health (SDOH) and other social-related health needs. Provide resources and support guided by client or family priorities; and
(x) Assess family and other relational support networks.