Certified Midwife Exam Prep Regulatory Frameworks & Compliance 2

Question 1

Which federal agency oversees the Medicare and Medicaid reimbursement policies that affect certified midwife practice?

Accepted Answer

Centers for Medicare & Medicaid Services (CMS)

Answer

CMS sets reimbursement rules and coverage policies for Medicare and Medicaid, directly affecting how certified midwives bill and are compensated.

Question 2

A certified midwife wants to prescribe controlled substances. What federal requirement must she fulfill in addition to state licensure?

Accepted Answer

Register with the DEA and obtain a DEA number

Answer

Prescribing controlled substances requires DEA registration regardless of state-level prescribing authority granted by licensure.

Question 3

Under HIPAA, a certified midwife's practice is classified as which type of covered entity?

Accepted Answer

Healthcare provider

Answer

A midwifery practice that transmits health information electronically is a healthcare provider and covered entity under HIPAA.

Question 4

A state's midwifery practice act is silent on whether CMs may perform first-trimester ultrasounds. How should the midwife proceed?

Accepted Answer

Seek a formal opinion from the state licensing board

Answer

When statute is silent on a specific act, a formal advisory opinion from the licensing board clarifies whether the act falls within legal scope.

Question 5

Which document specifically defines the minimum standards of practice that a certified midwife must meet to avoid allegations of substandard care?

Accepted Answer

Standards of Practice for Midwifery (ACNM)

Answer

ACNM's Standards of Practice for Midwifery establish the baseline professional expectations against which a CM's care is measured.

Certified Midwife Exam Prep Practice Test