CNM · Mississippi
Collaborative Practice Agreement for Certified Nurse-Midwives in Mississippi
Yes, a written physician agreement is required. Mississippi does not name a specific instrument.
CNM is licensed as a distinct APRN category under the same Part 2840, Ch. 1 framework as NPs/CRNAs — no separate CNM licensure act. No CNM-specific carve-out was found beyond the general APRN collaborative/protocol requirement.
What the collaboration must look like
The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.
Proximity
Available remotely (no on-site requirement)
Same 'reliable communication' standard as general NP.
Supervision ratio
Not codified — no cap on file
Chart review
Not codified — left to the agreement
Meeting cadence
Not codified — left to the agreement
Prescriptive authority
Covered by the practice agreement · controlled substances permitted
Same Schedule II-V framework as general NP after Board-approved education (§ 73-15-20(8)).
Written agreement
Required
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Same as the general `np` entry — no CNM-specific ownership rule found.
Legal sources for these rules (2)
- Miss. Code Ann. § 73-15-20 — Advanced Practice Registered Nurses
- Mississippi Admin. Code Title 30, Part 2840, Ch. 1
What a collaborating physician costs here
Typical monthly cost in Mississippi
$500 – $650
Estimate for one Certified Nurse-Midwife. This state's rules add a restrictive-tier premium.
About Mississippi's rules
Mississippi has no independent-practice pathway for NPs/APRNs — a collaborative relationship plus Board-approved written protocol is required for the life of the license. Multiple 2025-2026 NP full-practice-authority bills (H.B. 813, H.B. 98, S.B. 2178) remain unconfirmed as enacted — re-verify § 73-15-20 each session.
Other clinicians in Mississippi: see the state overview.