TRICARE Policy Manual 6010.60-M, April 1, 2015 Providers Chapter 11 Section 3.12 Certified Nurse Midwife (CNM) Issue Date: July 8, 1998 Authority: 32 CFR 199.6(c)(3)(iii)(D) Revision: 1.0 ISSUECNM. 2.0 POLICY2.1 A CNM may provide covered care independent of physician referral and supervision, provided the nurse midwife is:2.1.1 Licensed, when required, by the local licensing agency for the jurisdiction in which the care is provided; and 2.1.2 Certified by the American Midwifery Certification Board (AMCB). To receive certification, a candidate must be a Registered Nurse (RN) who has completed successfully an educational program approved by the AMCB, and passed the AMCB National Certification Examination. 2.2 The services of a RN who is not a CNM may be authorized only when the patient has been referred for care by a licensed physician and a licensed physician provides continuing supervision of the course of care. 3.0 EXCLUSIONA lay midwife who is neither a CNM nor a RN is not an authorized provider, regardless of whether the services rendered may otherwise be covered. - END -