For doulas in Riverside and San Bernardino counties

How to get contracted with IEHP as a doula

IEHP is the Medi-Cal plan for Riverside and San Bernardino counties and, by DHCS’s count, has had more members use doulas than any other plan. To be paid for its members you need a contract with IEHP. IEHP publishes how doulas bill it in detail, but not a doula-specific contracting checklist, so this page gives the contacts and what IEHP asks of ancillary providers, and flags what to confirm.

Updated October 5, 2026

IEHP doesn’t publish its doula contracting steps (we checked its provider pages on October 5, 2026). The steps below are the general process plus what IEHP does publish. Confirm the details with its provider team before you rely on them.

Counties
Riverside, San Bernardino
Doula contracting contact
doula@iehp.org
Contract documents go to
jointhenetwork@iehp.org
Medi-Cal enrollment
Proof of enrollment, or proof you’ve applied, with your Letter of Interest
How doulas bill
IEHP Provider Portal: Doula → Claims Entry
Payer ID (electronic claims)
IEHP1, but IEHP asks doulas to use its portal

  1. Apply for Medi-Cal enrollment (you can start IEHP before it’s approved)

    IEHP’s ancillary contracting page asks for proof of Medi-Cal enrollment or proof of Medi-Cal application submission, and says ancillary providers must also complete enrollment in the state’s Medi-Cal program. In practice that means you can send IEHP your paperwork once your PAVE application is in, rather than waiting for approval. Ask IEHP when it will make your contract effective if your Medi-Cal approval is still pending.

    Not enrolled yet? See how to become a Medi-Cal doula.

  2. Email IEHP’s doula team to start

    DHCS’s list of plan contacts for doulas names doula@iehp.org for contracting and onboarding at IEHP. Because IEHP doesn’t publish a doula-specific checklist, start there and ask:

    • Whether doulas apply with the Ancillary Letter of Interest form (below) or a separate doula application.
    • What credentialing documents IEHP needs from you (for example insurance, business license, NPI) and how long review takes.
    • Whether you’ll contract as an individual or through your doula group, and which NPI and tax ID to use.

  3. Send the Letter of Interest, W-9 and Medi-Cal proof

    IEHP’s published contracting requirements for ancillary providers (the group doulas usually fall under at Medi-Cal plans) are three items, emailed to jointhenetwork@iehp.org:

    • The Letter of Interest (LOI) form for ancillary and specialty programs. It asks for your TIN, group NPI, contact details, the line of business (Medi-Cal) and the IEHP service areas you’ll cover, from Riverside and San Bernardino proper to the High and Low Desert.
    • A W-9.
    • Proof of Medi-Cal enrollment, or proof you’ve submitted your Medi-Cal application.

    IEHP says incomplete forms are returned and not considered, that sending the LOI doesn’t guarantee acceptance, and that any delay in documents pushes back the effective date of the contract it mails you. Its ancillary page also lists an Ownership Information form.

    IEHP’s page lists provider types it isn’t currently accepting (DME, hospice, home health, ECM and Community Supports providers, among others). Doulas weren’t on that list when we checked, but IEHP says to check monthly.

  4. Sign your contract and the annual acknowledgment

    Once IEHP has what it needs, it mails you a contract. Every IEHP provider also has to send a Provider Acknowledgment of Receipt (AOR) each year, confirming you received and reviewed IEHP’s Policy and Procedure Manuals. Doula services are section 10.T of the Medi-Cal manual, which IEHP moved to an online platform for 2026.

    Don’t bill IEHP for visits until your contract is in place.

  5. Bill through the IEHP Provider Portal

    IEHP’s October 2024 claims guide says to use IEHP’s Portal to bill for all doula services: in the Provider Portal, choose Doula, then Claims Entry. The portal produces a CMS-1500 you can print after you submit. Some things the guide calls out:

    • No prior authorization for the initial visit, eight more visits, labor support or the two extended postpartum visits. The nine additional postpartum visits need an authorization; claims for them are submitted against the referral.
    • XP is the primary modifier on every line; for telehealth add 93 (audio-only) or 95 (video) as the second modifier.
    • One place of service per claim, and the same procedure code can’t appear twice on one claim (up to 25 lines).
    • Another doula with a different NPI who worked the same referral bills separately. Only doulas under the same tax ID appear in the portal’s provider list.
    • Tick “Corrected Claim” when you’re correcting one.

    The codes, units and one-visit-per-day rules match Medi-Cal’s. Our Medi-Cal doula billing cheat sheet has them on one page.

  6. Check IEHP’s diagnosis codes against the Medi-Cal manual

    IEHP’s portal guide lists these diagnosis codes for doula claims:

    Z33.1
    Pregnant state, incidental: prenatal visits and birth
    Z33.2
    Encounter for elective termination of pregnancy: abortion
    Z39.2
    Routine postpartum follow-up: all postpartum visits
    O02.1
    Missed abortion: miscarriage
    O03.4
    Incomplete spontaneous abortion without complication: support during a D&C or delivery of a non-viable pregnancy

    That isn’t the same as the Medi-Cal Provider Manual’s current table, which pairs each doula code with specific codes: a prenatal visit (Z1034) takes Z32.2 or Z32.3, for example, and miscarriage and abortion support take Z33.1. IEHP’s guide is from October 2024 and the manual has been updated since.

    Before your first claim, ask IEHP (providerservices@iehp.org) which diagnosis codes it expects for each doula code, and keep the answer in writing.

  7. Know how members reach you and how extra visits are approved

    • Self-referral: IEHP tells members and providers that members can self-refer through Member Services at 1-800-440-IEHP (4347). Members can also email doula@iehp.org.
    • Extra postpartum visits: the recommendation for up to nine more postpartum visits comes from a physician or other licensed practitioner, who submits it through IEHP’s eAuth Provider Portal or faxes it to IEHP’s Utilization Management department at (909) 890-5751. That authorization is what your Z1038 claims for those visits attach to.

How many IEHP members use doulas

More than at any other plan. DHCS’s July 2025 report counted 371 IEHP members who used doula services between January 2023 and June 2024, out of about 62,000 pregnant and birthing members: 6.0 per 1,000, second only to Partnership HealthPlan’s rate (7.7) and well above L.A. Care’s (1.5).

IEHP contacts for doulas

Doula contracting and onboarding (per DHCS)
doula@iehp.org
Contract documents (LOI, W-9, Medi-Cal proof)
jointhenetwork@iehp.org
Billing, claims and payment (per DHCS); provider questions
providerservices@iehp.org
Provider Call Center
(909) 890-2054
Provider Call Center, toll-free
(866) 223-4347
Member Services (for your clients)
1-800-440-4347

Stuck with a plan? DHCS takes questions about plan contracting at DoulaBenefit@dhcs.ca.gov.

Sources

All sources checked October 5, 2026.

Common questions

How do I become an IEHP doula provider?
Email IEHP’s doula team at doula@iehp.org (the contact DHCS lists for IEHP doula contracting). IEHP’s published requirements for ancillary providers are a Letter of Interest form, a W-9, and proof of Medi-Cal enrollment or of your Medi-Cal application, sent to jointhenetwork@iehp.org. Ask the doula team whether it needs anything more from doulas.
Do I need to be enrolled with Medi-Cal before contracting with IEHP?
IEHP accepts proof of Medi-Cal enrollment or proof that you have submitted your Medi-Cal application with your Letter of Interest, and requires ancillary providers to complete Medi-Cal enrollment.
How do doulas bill IEHP?
IEHP asks doulas to bill all doula services through its Provider Portal, under Doula, then Claims Entry. Every line takes modifier XP, with 93 or 95 as a second modifier for telehealth.
Does IEHP need prior authorization for doula services?
Not for the initial visit, the eight additional visits, labor support or the two extended postpartum visits. The nine additional postpartum visits need a licensed practitioner’s recommendation, submitted through IEHP’s eAuth portal or by fax to its UM department.
Which diagnosis codes does IEHP want on doula claims?
IEHP’s October 2024 claims guide lists Z33.1 (prenatal and birth), Z33.2 (abortion), Z39.2 (postpartum), and O02.1 or O03.4 (miscarriage). The current Medi-Cal Provider Manual pairs some doula codes with different diagnoses, so confirm with IEHP Provider Services before you bill.

This guide summarizes Inland Empire Health Plan (IEHP)’s published material for convenience and is not billing or legal advice. Plans change their processes and contacts; follow your contract and confirm with IEHP before you apply or bill.