Medicaid Monitor
Policy Intelligence
Medicaid Monitor
Policy Intelligence
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State Policy·May 27, 2026

NASHP Reviews State Medicaid Reimbursement Policies for Certified Nurse Midwives

The National Academy for State Health Policy published an overview of how states structure Medicaid reimbursement for certified nurse midwives (CNMs) to expand maternal care access. The analysis examines state-level payment policies and credentialing requirements that determine CNM participation in Medicaid programs. States use varying reimbursement methodologies — some paying CNMs at the same rate as physicians, others at reduced percentages — which directly affects provider network composition and beneficiary access to midwifery services. The resource is intended to help state Medicaid programs evaluate their maternal health provider networks.

Why it matters for managed care

CNM reimbursement policy directly affects managed care network adequacy for maternity services and the availability of alternative delivery models that can reduce cesarean rates and improve birth outcomes for Medicaid enrollees.

Maternal · Managed Care

Read the full article at nashp.org

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