Administrative Rules of Montana
Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
Chapter 37.86 - MEDICAID PRIMARY CARE SERVICES
Subchapter 37.86.12 - Licensed Direct-Entry Midwife
Rule 37.86.1201 - LICENSED DIRECT-ENTRY MIDWIFE

(1) "Direct-entry midwife" means a person that is licensed as defined in Title 37, chapter 27, MCA and ARM Title 24, chapter 111, subchapter 6.

(2) Direct-entry midwives may provide prenatal labor and delivery or postpartum care in a member's home or in a birthing center as defined at ARM 37.86.3001. A home birth must comply with the standards and requirements in ARM 24.111.617 and ARM 24.159.1477.

(3) Reimbursement for direct-entry midwives will be determined in accordance with ARM 37.85.212 and 37.86.105.

(4) The definitions found in the introduction to Physicians Current Procedural Terminology, fourth edition (CPT4), published by the American Medical Association of Chicago, Illinois and adopted at ARM 37.86.101 describe the terms commonly used by the Montana Medicaid Program in implementation of the program's direct-entry midwife fee schedule.

(5) The "Physician-Related Services Manual" adopted at ARM 37.86.101 governs the administration of the Direct-Entry Midwife Program.