CNM vs. CPM — Which Midwife Type in Utah?

Utah has both Certified Nurse Midwives (CNMs) and Certified Professional Midwives (CPMs). Here’s the difference — and why it matters for insurance coverage.

CNM — Certified Nurse Midwife

Training: Registered Nurse (RN) + graduate-level midwifery degree (MSN or DNP)

Licensed in Utah? Yes — licensed by the Utah Division of Occupational and Professional Licensing

Medicaid covered? Yes — CNMs are covered providers under Utah Medicaid

Where they work: Birth centers, hospitals, and home births

Prescribing authority: Yes — can prescribe medications

CPM — Certified Professional Midwife

Training: Midwifery-specific certification through NARM (not a nursing degree)

Licensed in Utah? Yes — Utah licenses CPMs (Direct-Entry Midwives)

Medicaid covered? Limited — coverage varies by plan; less consistent than CNM coverage

Where they work: Primarily home births and some birth centers

Prescribing authority: No — cannot prescribe medications

Which Should You Choose?

If insurance coverage (especially Medicaid) is a priority, a CNM is the safer choice — their coverage under Utah Medicaid is more consistent and their hospital privileges mean seamless transfer of care if complications arise.

Many families choose CPMs for planned home births or for birth centers where CPMs are the primary attendant. Ask any provider directly about their credentials, transfer protocols, and insurance acceptance before committing.

Not medical or legal advice. Verify licensing status of any provider through the Utah Division of Occupational and Professional Licensing (dopl.utah.gov).