Alabama | Collaborative | Y (80% of physician rate) | Y | Y | Y | N | Y |
Alaska* | Independent | Y (85% of physician rate) | Y | N | – | N | – |
Arizona* | Independent | Y (90% of physician rate) | Y | Y | – | N | Y |
| Arkansas* | Collaborative | Y (80% of physician rate) | N | N | – | Y | – |
California | Independent | Y (100% of physician rate) | Y | Y | Y | Y | Y |
| Colorado* | Independent | Y (100% of physician rate) | N | – | – | N | Y |
| Connecticut | Collaborative | Y (100% of physician rate) | N | Y | Y | N | Y |
| Delaware* | Collaborative | Y (100% of physician rate) | N | – | – | N | – |
| District of Columbia | Independent | Y (100% of physician rate) | Y | N | N | N | N |
| Florida | Hybrid model (restrictions in place) | Y (80% of physician rate) | N | N | Y (Healthy Start Prenatal Risk Screening (SUD/mental health screening) and Screening, Brief Intervention, and Referral to Treatment or SBIRT) | Y | N |
| Georgia | Collaborative | Y (100% of physician rate) | N | Y | Y (Screening and care coordination; for treatment services, CNMs refer the members to substance use or mental health professionals) | N | N |
| Hawaii | Independent | Y (75% of physician rate) | Y | Y (Pregnancy and delivery are covered as a global service) | Y | N | N |
| Idaho | Independent | Y (85% of physician rate, except for services provided in a RHC, FQHC, or Indian Health Service) | N | Y | N | N | Y |
| Illinois | Collaborative | Y (100% of physician rate) | Y | N | Y | N | N |
| Indiana | Collaborative | Y (75% of physician rate) | Y (Within managed care programs) | N/A | Y (Well woman exams and family planning. Depending on qualifications, some may provide SUD and other behavioral health services) | N | Y |
| Iowa | Independent | Y (85% of physician rate) | Y | Y | Y (SUD screening and treatment, mental health screening and treatment, and care coordination) | N | Y |
| Kansas | Independent | Y (75% of physician rate) | Y | Y | Y | N | N |
| Kentucky | Collaborative | Y (75% of physician rate) | Y | N | Y (Additional services may be approved on a case-by-case basis by the Medical Director) | N | N |
| Louisiana | Collaborative | Y (80% of physician rate; 100% for: EPSDT services, physician administered medication, and long-acting reversible contraceptives) | N | N | Y (Physical and some behavioral health services) | N | Y |
| Maine* | Independent | Y | – | – | – | – | – |
| Maryland | Independent | Y (100% of physician rate) | Y | N | Y (SUD screening and treatment, mental health screening and treatment, and care coordination paid as part of enriched maternity services) | N | Y (CNMs are considered eligible providers for certain VBP metrics). |
| Massachusetts | Collaborative | Y (85% of physician rate) | Y | Y | N | Y | Y |
| Michigan | Collaborative | Y (100% of physician rate) | Y | Y | Y (Behavioral health, reproductive health, and SUD screening and treatment services) | Y | N |
| Minnesota | Independent | Y (100% of physician rate) | Y | Y | Y | N | Y |
| Mississippi | Collaborative | Y (90% of physician rate) | N | N | Y (SUD screening and home visiting services) | N | Varies by Coordinated Care Organization (CCO) |
| Missouri | Collaborative | Y (100% of physician rate) | Y | Y (This applies to vaginal deliveries. CNMs are not allowed to bill for Caesarean Section global payments) | Y (Family planning, counseling, birth control technique well-woman gynecological care, and some infant care midwife services) | Y | Y |
| Montana | Independent and/or collaborative | Y (90% of physician rate) | N | Y | Y (Mental health screening and treatment, and caregiver health risk assessment) | N | N |
| Nebraska* | Collaborative | Y | – | – | – | – | – |
| Nevada* | – | Y | – | – | Y (Smoking cessation services, home visiting services) | – | – |
| New Hampshire | Independent | Y (100% of physician rate) | N | Y | Y (SUD screening, mental health screening, well woman exams, family planning) | N | N |
| New Jersey* | Independent | Y (95% of physician rate) | – | – | – | – | – |
New Mexico | Independent | Y (100% of physician rate) | Y | Y | Y (Same as physician covered services) | N | N |
New York* | Independent | Y (85% of physician rate) | Y | – | – | Y | – |
| North Carolina | Collaborative | Y (98% of physician rate) | Y | Y | Y (SUD screening, mental health screening, care management for high risk pregnancies (CMHRP)) | Y | Y |
North Dakota | Independent | Y (75% of physician rate for FFS; 85% of physician rate for MCO) | Y | Y (MCO); N (FFS) | Y | N | Y (MCOs); N (FFS) |
Ohio | Collaborative | Y (100% of physician rate) | Y | Y | Y (Depending on service setting) | N | Y |
| Oklahoma | Independent | Y (100% of physician rate) | N | Y | Y (SBIRT, smoking cessation) | N | N |
Oregon | Independent | Y (100% of physician rate) | Y | Y (Global OB package applies when all prenatal care, delivery, and postpartum care is provided by one midwife) | Y (Depending on service setting) | N | N |
Pennsylvania | Collaborative | Y (100% of physician rate) | Y | Y | Y (SUD screening and treatment, mental health screening and treatment, care coordination (service referral), tobacco cessation counseling) | N | Y |
Rhode Island | Independent | Y (100% of physician rate) | Y | Y | Y (SUD screening, mental health screening, care coordination (service referral) | N | Y |
South Carolina | Collaborative | Y (100% of physician rate) | N | N | N | Y | N |
| South Dakota | Independent | Y (100% of physician rate) | Y | Y | Y (Mental health screening) | N | Y |
Tennessee | Collaborative | Y (% varies by MCO) | Y | Y | Y (Reimbursable services vary by MCO) | Varies by MCO | Y |
| Texas | Collaborative | Y (92% of physician rate, except 100% of physician rate for laboratory services, x-ray services) | Y (MMC) | N | Y (See the Texas Medicaid Provider Procedures Manual for CNM reimbursable services) | Y | Y (Varies by MCO) |
Utah | Independent | Y (100% of physician rate) | Y | Y | Y (SUD screening, mental health screening and treatment, other reproductive health services) | N | N |
Vermont | Independent | Y (100% of physician rate) | Y | Y | Y | N | Y |
Virginia | Hybrid model (restrictions in place) | Y (100% of physician rate) | N | N (FFS); Y (Varies by MCO) | N (FFS); Y (MCO) (Well woman exams and family planning) | N | N (FFS); Y (Varies by MCO) |
| Washington | Independent | Y | Y | Y | Y (SUD screening, mental health screening, care coordination service referral) | N | Y |
West Virginia* | Collaborative | Y (100% of physician rate) | – | – | – | N | – |
Wisconsin | Collaborative | Y (90% of physician rate; 100% if CNM holds a Master’s degree) | Y | Y | N | Y | Y |
Wyoming | Independent | Y (100% of physician rate) | N | Y | Y (SUD screening) | N | N |
