The services listed below are non-covered for direct-entry midwives. This list is
representative of non-covered services and procedures and is not intended to be all-inclusive.
For additional non-covered services, refer to Section III: General Program
Information.
• Any service that does not appear on the Direct-Entry Midwives Fee Schedule.
• Direct-entry midwives are prohibited from providing services to a member with the
following diagnoses or conditions:
− Gestational diabetes
− Multiple gestation
− Fetus of less than 37 weeks or more than 42 weeks gestation at onset of labor
− Fetal presentation other than vertex at the onset of labor (prohibited from
correcting or attempting to correct fetal position)
− Pre-eclampsia or eclampsia
− Patients under 16 years of age
− Any other condition determined by the Alaska Board of Direct-Entry Midwives to
be of high risk to the woman and/or newborn
− Care to an infant beyond one week of age (must recommend to the member an
evaluation by a physician)
• Apprentice direct-entry midwives or direct-entry midwives in training cannot receive
reimbursement for services rendered.
NOTE: A person who is not certified as a direct-entry midwife is ineligible to enroll
with Alaska Medical Assistance and is prohibited from practicing midwifery for
compensation under AS 08.65.150.
• A direct-entry midwife preceptor or other supervising individual is prohibited from
billing for services performed by a direct-entry midwife apprentice or direct-entry
midwife in training.
Updated 02/07/2024
Opmerkingen