Assignment task: Midwifery in State Name: NEW YORK
Midwifery In My State: Certification, Licensure, Education, And Practice of CNMs/CMs/CPMs and Birth Center Regulation & Accreditation
Instructions: Answer each question in the white boxes. Use your own words; do not cut and paste. Use direct quotes sparingly and only when needed. Provide an active link for each response.
Certification:
1. What is the difference between certification and licensure for CNMs?
2. What is the name of the agency responsible for certifying CNMs and CMs? Need Assignment Help?
3. What are the requirements to become certified by the above agency as a CNM? How much is the certification fee? Use the candidate handbook to find your answer.
Provide steps in a bullet list
4. What are the requirements for each option of the certificate maintenance program, and how much is the annual fee?
Provide steps in a bullet list
State Licensure and Regulation
5. Name the agency that licenses and regulates the practice of CNMs in your state
6. What title is given to CNMs by your state licensing body?
7. Are Certified Midwives (CM) licensed as advanced practice providers in your state? Remember that CMs are different from CPMs, LMs, or CNMs.
- If yes, which agency licenses and regulates the practice of CMs in your state, does their scope of practice in your state differ from CNMs, and what title is given to CMs by the state licensing body?
- What are your thoughts on the licensure status (or lack of licensure status) of CMs in your state?
8. Are you able to practice as a graduate CNM in your state prior to taking the national boards? Describe.
9. What are the steps to obtain initial CNM licensure in your state?
10. What are the steps for license renewal in your state? i.e., Are there CEU requirements?
11. Do your state regulations require CNMs to have a written collaborative agreement or supervising physician for practice?
12. Do your state regulations require CNMs to have a written collaborative agreement or supervising physician to obtain prescriptive privileges?
13. What restrictions exist that limit your ability to prescribe controlled substances in your state? i.e., DEA license, schedule of drugs, physician signature.
Certified Professional Midwives
14. Can CPMs apply for and receive a license to practice in your state? Remember, CPMs are different from CMs or CNMs.
15. Which agency issues licenses to CPMs in your state? What is their title? (CPM, LM, LDEM, CDM, LDM, LCPM, etc).
16. If CPMs can be licensed, what is their scope of practice in your state? If they cannot be licensed, is it illegal to practice without a license?
17. How do you feel about CPMs being licensed or not licensed in your state?
Freestanding Birth Centers
18. Is there a mechanism to license freestanding birth centers in your state?
19. Is accreditation a requirement for licensure of freestanding birth centers in your state?
20. Read the rules for birth center licensure in your state. What rules do you see that encourage the growth of safe birth centers? (Such as requiring hospitals to communicate or collaborate with licensed birth centers for transfers) Do any rules create restrictive barriers that prevent birth centers from thriving (Such as requiring a Certificate of Need application, a physician Medical Director, or a signed transfer agreement from a hospital?)
21. Are freestanding birth centers reimbursed by Medicaid in your state?
22. What city and state do you live in?
- List the freestanding birth centers located within a 50 mile radius of your community.
- If there are no birth centers within a 50 mile radius of your community, provide the locations of the 2 nearest freestanding birth centers and their distance from your community.
Reflective summary
23. Some states have more restrictions for CNM practice than others.
Please provide a brief (2-3 sentences for each question) reflective summary that addresses each of the following questions
- How do your state regulations impact your ability to practice independently?
- How do your state regulations impact your client's right to choose and access midwifery services?
- How do your state regulations impact the public's perception of midwives as competent providers?