(a) The board may
issue a certificate by credentials to practice as a direct-entry midwife to an
applicant who meets the requirements of
AS
08.65.070 and this section.
(b) An applicant for a certification by
credentials under this section must submit
(1) a complete and notarized application on a
form provided by the department;
(2) the applicable fees established in
12 AAC 02.145;
(3) an authorization from the applicant for
release of the applicant's records to the department, on a form provided by the
department;
(4) copies verifying a
current
(A) certification in the Basic Life
Support for Health Care Providers Program (BLS);
(B) certified professional midwife
certification in good standing from the North American Registry of Midwives
(NARM); and
(C) certification in
neonatal resuscitation from the Neonatal Resuscitation Program (NRP) from the
American Academy of Pediatrics;
(5) verification of the applicant's licensure
status sent directly to the department from each jurisdiction where the
applicant holds or has ever held a license to practice midwifery; at least one
verification must indicate a current license in good standing; the
verifications must document that the applicant is not the subject of any
unresolved complaints or any unresolved disciplinary actions and has never had
a license to practice midwifery revoked;
(6) an affidavit signed by the applicant or
by a state licensing agency verifying that the applicant completed a course of
study and supervised clinical experience of at least one year's duration as
required under
AS
08.65.050;
(7) verification of passing the North
American Registry of Midwives Examination (NARM) sent directly to the
department from NARM;
(8)
documentation of fulfillment of the continuing competency requirements in
12 AAC 14.420 -
12 AAC 14.430 during the two years
immediately preceding the date of application;
(9) an affidavit from the applicant on a form
provided by the department documenting that the applicant was the primary or
assisting midwife for at least 10 births, five of which the applicant was the
primary midwife, within the 24 months preceding the date of application; the
affidavit must include the information required in
12 AAC 14.210(e)
(1) - (8).
(c) In order to be scheduled for review by
the board at its next regularly scheduled meeting, a complete application for
certification and all supporting documents, including the requirements of (b)
of this section, must be received by the division's Juneau office before the
board will review the application.
(d) The board will approve a program as a
substitution for a program required under (b)(4) of this section, if the board
determines that the substitute program is equivalent to the program required
under (b)(4) of this section.
(e)
In addition to the requirements of this section, the board may request that the
applicant be interviewed by the board, or provide additional information
relating to the applicant's previous practice, including additional records and
written explanations.
