How to get contracted with Kern Family Health Care as a doula

1. 1

   Check KHS’s network requirements

   KHS lists these requirements for every provider joining its network:

   • Enrolled and approved in DHCS’s Medi-Cal fee-for-service program (through PAVE). KHS asks you to check that your enrollment, including your place-of-business address, matches your application and NPI before you apply.
   • Physically located in and providing services in Kern County for at least one year.
   • In good standing with KHS, and meeting all credentialing requirements.
   • Able to submit claims electronically, and to join KHS’s electronic funds transfer (EFT) program.

   Need to enroll first? See how to become a Medi-Cal doula.

2. 2

   Send the Contract Inquiry form

   Fill in the KHS Contract Inquiry form (doulas use “Other” for the service type) and email it to PRcontracting@khs-net.com with:

   • A current W-9.
   • Your Medi-Cal approval letter.
   • Anything that helps explain your services, such as a brochure.

   A Provider Contract Specialist should contact you within 5 to 10 business days. KHS notes the inquiry isn’t the credentialing application and doesn’t guarantee a contract. DHCS lists the same address, with Alejandra Martinez (661-617-2579), as KHS’s doula contracting contact.

3. 3

   Complete the doula credentialing application

   KHS’s doula application (listed under Allied Health Providers as “Doula Provider”) has six sections: personal information, education, current employment or volunteer work, your training or experience pathway, a continuing education attestation (three hours every three years), and your signature. Attach copies of:

   • Your doula certificate.
   • Adult/infant CPR certification.
   • Your HIPAA training certificate.
   • Your DHCS Medi-Cal fee-for-service approval letter.
   • Addendum A, Practitioner Rights.
   • General or professional liability coverage, if you have it. KHS’s checklist doesn’t make it mandatory.

   Experience-pathway applicants add a resume and the client or professional letters.

4. 4

   Allow 60 to 120 days for credentialing

   KHS’s inquiry form warns that credentialing may take an additional 60 to 120 days. Send the full application at once to avoid adding to that, and don’t bill KHS until your contract is in effect.

5. 5

   Set up electronic claims and EFT

   Have a clearinghouse and a bank account for EFT ready: KHS requires both. Claims follow Medi-Cal’s doula codes, diagnosis pairings and modifier XP (our billing cheat sheet has them). For billing, claims and payment questions DHCS lists kristie.onaindia@khs-net.com (661-340-1773).

   KHS marks some networks “temporarily closed” on its application page (Community Health Workers and Community Supports, for example). The doula network was open when we checked; look again before you apply.

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