130 CMR 405.427
Certified Nurse-midwife Services
(A) Payable Services. The CHC may bill for services provided by a certified nurse midwife that
relate to pregnancy, labor, birth, and the immediate postpartum period when the nurse midwife is a
contractor or employee of the CHC. The following conditions also apply.
(1) The services must be limited to the scope of practice authorized by state law or regulation.
(2) The certified nurse midwife must meet the educational and certification requirements
mandated by state law or regulation.
(3) The certified nurse midwife must enter into a formal collaborative arrangement with a
physician or group of physicians as required by state law or regulation.
(4) The immediate postpartum period during which certified nurse-midwife services may be
provided is defined as a period of time not to exceed six weeks after the date of delivery.
(5) Deliveries by a certified nurse midwife must occur in facilities licensed by the Department
of Public Health for the operation of maternity and newborn services.
(B) Nonpayable Services.
(1) Childbirth education classes are not payable.
(2) Prenatal or postpartum care provided by a certified nurse midwife in the member's home is
not payable.
(C) Educational and Certification Requirements. A certified nurse midwife on the staff of a CHC
must have successfully completed a formal educational program for certified nurse midwives as
required by the Massachusetts Board of Registration in Nursing.
(1) A nurse midwife who has completed such educational requirements may provide services to
members before the first certification examination for which the nurse midwife is eligible.
(2) If the scheduled examination is missed, the nurse midwife must immediately cease providing
services to members.
(3) Upon receiving notice of failure to pass the examination, the nurse midwife must
immediately cease providing services to members.
(4) After passing the examination, the nurse midwife must be certified to practice by the Board
of Registration in Nursing.
(5) When such certification expires or is suspended, the certified nurse midwife must
immediately cease providing services to members.