Medicaid Reimbursement for CPMs by State
Certified Professional Midwives (CPMs) are not automatically reimbursed by Medicaid in every state they are licensed within due to the lack of federal recognition of the CPM credential under the Social Security Act. Unlike Certified Nurse-Midwives (CNMs), who are explicitly listed as mandatory providers, CPMs are not uniformly included, leaving each state to independently determine whether or not to cover their services. This fragmented approach leads to inconsistent access to care and creates financial barriers for families seeking out-of-hospital midwifery services. Federal inclusion of CPMs as mandatory Medicaid providers would not only ensure equitable reimbursement but also expand access to safe, community-based maternity care nationwide.
The Medicaid reimbursement data presented in this map was sourced through direct conversations with Certified Professional Midwives (CPMs) actively engaged in providing care and billing Medicaid for their services. These insights were gathered to reflect the real-world experiences of CPMs navigating the Medicaid reimbursement process, including payment structures, challenges, and variations across different states.