 On January 1, 2022, Tricare debuted its Childbirth and Breastfeeding Support Demonstration which will run until December 31, 2026. This demonstration seeks to study the impact birth doulas and lactation counselors/consultants have on the services of cost, quality of care, and maternal and fetal outcomes for the Tricare population. In order to get reimbursed for doula services, you must: •Be at least 20 weeks pregnant upon your first prenatal visit •Be enrolled in Tricare Prime or Tricare Select •If you have Tricare Prime, obtain a referral from your PCM to see a provider for the management of your pregnancy AND for doula services •Choose prenatal care with a Tricare-authorized OB/GYN or a Certified Nurse Midwife (CNM) •Choose in-person prenatal, postpartum, and labor and support •Use Tricare as your primary insurance If you do not meet the above requirements, Tricare will NOT pay your doula and you will be financially responsible for any services provided. It's important to note that virtual support or births that take place at an MTF (military hospital) are not covered under this demonstration.
For Tricare-approved doulas (in-network or non-network), you will not pay any out-of-pocket fees unless you choose optional services not covered by the demonstration (massage, belly binding, additional sessions, etc.). The allowable services under the demonstration are as follows: •Up to six hours of antepartum and/or postpartum visits •Continuous labor support (any amount or outcome is approved) Tricare-approved doulas have met all of the following requirements to be a Certified Labor Doula under this demonstration. •Certified through an approved doula training organization •Attended a training curriculum of at least 24 hours for doula training •Attended a breastfeeding course •Attended a childbirth course •Provided continuous labor support for at least three births in the last three years, with a minimum of 15 hours over the three births •Provided antepartum and postpartum support for at least one birth •Hold a current child, infant, and adult CPR certification •Have an NPI Comments are closed.
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