Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3.3
Certified Nurse-Midwives
10.2.3.3 – Certified Nurse-Midwives
(Rev. 10800; Issued: 05-20-21; Effective: 06-22-21; Implementation: 06-22-21)
Federal regulations at 42 CFR § 410.77 list the Medicare qualifications for certified nurse-
midwives (CNMs). These qualifications require that a CNM:
• Be a registered nurse who is legally authorized to practice as a nurse-
midwife in the state where services are performed;
• Have successfully completed a program of study and clinical experience for
nurse-midwives that is accredited by an accrediting body approved by the
U.S. Department of Education; and
• Be certified as a nurse-midwife by the American College of Nurse-
Midwives or the American Midwifery Certification Board.
For more information on CNMs, refer to:
• Section 1861(gg) of the Social Security Act
• Pub. 100-02, chapter 15, section 180
• Pub. 100-04, chapter 12, section 130.1