Reinforcement of Interpretive Guidance for Nurse Midwives

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Reinforcement of Interpretive Guidance for Nurse Midwives
Memo #
Posting Date
Fiscal Year
Memorandum Summary

• CMS is committed to improving access and quality care for pregnant and postpartum individuals and their infants.

• Hospital governing body requirements at §482.12(c)(1), (2), and (4) apply exclusively to Medicare patients/beneficiaries.

• For non-Medicare beneficiaries, including patients receiving Medicaid, hospitals may develop policies to permit nurse midwives to be credentialed and privileged to admit and care for hospital inpatients in accordance with State licensure laws.

• Critical Access Hospital (CAH) requirements for physician review and signature of records of patients cared for by nurse practitioners, clinical nurse specialists, certified nurse midwives, or physician assistants apply to all patients of the CAH.