Inviting Doulas to Join Our Networks
EmblemHealth is now inviting doulas to join our provider networks. EmblemHealth will cover doula services in hospital, clinic, and community settings for Medicaid, Health and Recovery Plan (HARP), and Essential Plan members who are pregnant, birthing, and postpartum (for up to 12 months after the delivery date) beginning Oct. 1, 2024.
If you know a doula who may be interested in partnering with EmblemHealth, please contact medicaidproduct@emblemhealth.com.
For more information on doula reimbursement rates and member benefits, see the article posted in the provider hubs for State-Sponsored Programs and Commercial Networks and Benefit Plans.
Doulas must be enrolled as New York State Medicaid fee-for-service providers.
EmblemHealth Works With SimpliFed to Support New Mothers
SimpliFed, a leader in lactation support, is now an in-network provider with EmblemHealth. This unique maternal health platform offers a bundled, baby-feeding care plan for each patient.
Starting at 28 weeks and continuing well into postpartum, all appointments are done virtually through a secure, easy-to-use portal. SimpliFed offers care in multiple languages and 24/7 support from care navigators or “allies.” And with a simple bi-directional referral process, SimpliFed reduces clinic and provider burden while increasing patient engagement, utilization, and outcomes.
This emphasis on nurtured, cyclical care has had impressive results:
- 87% of SimpliFed patients feed with breast milk for at least three months (national average is 69%).
- SimpliFed providers have received a 96% patient satisfaction score.
- 2% no-show rate for all appointments.
For more information on how to refer your commercial, Medicaid, and HARP patients, email contactus@simplifed.us or visit simplifed.com.
Elektra Health Can Help Members Through Menopause
Menopause is a process that can take place over several years and usually happens to a woman in her 40s and 50s, mostly between the ages of 45 and 55. It can have mild to severe physical and emotional symptoms that can impact a wide range of daily life experiences and relationships. 0
To help members with their journey from perimenopause through postmenopause, EmblemHealth and ConnectiCare’s provider networks now include Elektra Health, a specialized women’s health virtual care and education provider. They offer valuable information and expertise for managing menopause, which can supplement the care you give your patients.
Take advantage of Elektra Health to help your patients.
Telehealth visits
You may send your EmblemHealth and ConnectiCare members to Elektra Health for telehealth visits without a referral or preauthorization. Elektra Health’s board-certified health care providers are certified by The Menopause Society (formerly The North American Menopause Society). They can order labs and write prescriptions for hormonal and non-hormonal treatments and evidence-backed supplements. The member’s normal cost-sharing for in-network specialist visits under their health insurance plan will apply.
Educational materials
Elektra’s website has evidence-based articles and recommendations on symptoms, hormone replacement therapy, and more. One key resource we recommend sharing with your patients is Elektra’s menopause guide.
Other services
Elektra offers other services that are not covered by our plans but may be of interest to your patients.
