Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 405.000 - Community Health Center Services
Section 405.427 - Certified Nurse-midwife Services
Universal Citation: 130 MA Code of Regs 130.405
Current through Register 1531, September 27, 2024
(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 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.
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