CNM/CMs

Continuing Education Requirements By State

Alabama

 Initial QACSC:

  • Complete within 12 months preceding the application 12 AMA PRA Category 1 credits that include the course “Prescribing Controlled Drugs; Critical Issues and Common Pitfalls (8 credits) and four credits through a Board approved course relating to advanced pharmacology and prescribing trends.

 

QACSC Renewal:

  • Obtain four AMA PRA Category 1 credits every two years through a Board approved course

 

Alaska

The Alaska Board of Nursing does not require APNs to complete continuing education to maintain APN authorization. However, if you have prescriptive authority and wish to renew it, you must complete continuing education requirements during each two-year renewal period. A nurse-midwife holding a prescriptive authority certificate must complete 16 hours of continuing  education in advanced pharmacology.

Arizona

No continuing education requirements

Arkansas

Each renewal, 20 contact hours of continuing education are needed, and the process can often be completed online as long as licensing has not lapsed. 

California

All RNs in the State of California who wish to maintain an active license are required to complete 30 hours of continuing education for license renewal.  No additional CNM renewal CEUs required from nursing license renewal.

Colorado

No continuing education requirements

Connecticut

Each licensee applying for license renewal shall complete a minimum of 15 hours of qualifying continuing education during the one-year period for which the license has been renewed. 

Delaware

The mandatory training must meet the requirements of the Child Protection Accountability Commission (CPAC). To meet these requirements, take the online training course entitled Mandatory Reporting Training for Medical Professionals.  The midwife shall be required to complete thirty hours of continuing education acceptable to the Council biennially.  

District of Columbia

Beginning with the 2006 renewal period, submit proof of completion of  fifteen (15) contact hours of continuing education, which shall include a  pharmacology component. A continuing education program, course, seminar,  or workshop shall be approved by the ACNM or other nationally certifying  organization recognized by the Board and shall be related to the certificate  holder’s specialty. Only continuing education hours obtained in the two (2)  years immediately preceding the application date will be accepted.  

RNs are required 24 contact hours every two years, 3 of which must be in HIV/AIDS and are required to complete 2 hours of instruction in cultural competency focusing on patients who identify as LGBTQ.   3.0 contact hours on HIV/AIDS is required, beginning with the 2016 renewal.  

Florida

CNM renewal CEU requirements: General Education 16hrs, Prevention of Medical Errors 2hrs, Recognition of Impairment in the Workplace 2hrs, Human Trafficking 2hrs, Safe and Effective Prescription of Controlled Substances 3hrs, Domestic Violence 2hrs, & HIV/AIDS 1hr 

All Florida-licensed RNs are now in a 24-month renewal cycle and must complete 24 hours of appropriate continuing education during each renewal period. One (1) contact hour is required for each calendar month of the licensure cycle, including two (2) hours on Prevention of Medical Errors. HIV/AIDS is now a one-time, 1-hour CE requirement to be completed prior to the first renewal. Domestic Violence CE is now a 2-hour requirement every third renewal. There is a NEW 2-HOUR CE course requirement for the Recognizing Impairment in the Workplace

Georgia

 30 hours every 2 years

Hawaii

No specific CNM licensure renewal requirements on top of RN license requirements

Beginning July 1, 2017, for every 2 year renewal period RNs must complete one of the following: 30 contact hours of continuing education, completion of a board approved refresher course, completion of a minimum of two semester credits of post-licensure academic education related to nursing practice from an accredited nursing program. 

Idaho

 All CNMs in Idaho must complete 30 contact hours of continuing education during each renewal period. 

RN: New Continuing Competency Requirements (effective with the 2019 renewal) In order to renew, a licensee shall complete or comply with at least two of any of the learning activities listed below within the two year renewal period. a. Practice: i. Current nursing specialty certification as defined in Section 402; ii. One hundred (100) hours of practice or simulation practice b. Education, Continuing Education, E-learning, and In-service: i. Fifteen (15) contact hours of continuing education; ii. Completion of a minimum of one (1) semester credit hour of post-licensure academic education; iii. Completion of a Board-recognized refresher course; See additional options on Idaho BON website 

Illinois

Nothing specific to CNMs (CMs not regulated)

RNs are required to complete 20 contact hours every two years. Beginning January 1, 2020, all licensees are required to complete 1 hour of continuing education specific to sexual harassment prevention every renewal. 

Indiana

No continuing education requirements

Iowa

Nothing specific for CNM requirements (reference RN requirements).

RN: For renewal of a three year license, the requirement is 36 contact hours; For renewal of a license that has been issued for less than three years, the requirement is 24 contact hours. For reactivation from an inactive status, the requirement is 12 contact hours that are not more than 12 months old at the time the credit is submitted for reactivation For renewal of a license that has been issued for less than three years, the requirement is 24 contact hours or 2.4 CEUs. It is also required that RNs who regularly examine, attend, counsel or treat dependent adults or children in Iowa complete training related to the identification and reporting of child/dependent adult abuse. The licensee is required to complete at least two hours of training every five years. 

Kansas

Nothing specific to CNM licensure (need to complete RN requirements)

RNs are required to complete 30 contact hours every 2 years. There is no maximum on the number of independent study hours that can be obtained. 

Maine

APRN Renewal Requirements CNMs in Maine must ensure they maintain their RN and APRN licenses by completing at least 75 continuing education hours during every two-year renewal cycle and applying for license renewal through the Maine Regulatory Licensing and Permitting online portal. 

Maryland

No continuing education requirements. 

Massachusetts

The advanced practice nurse will need training in three mandated areas before initial registration and before APRN renewal (http://www.mass.gov/eohhs/gov/departments/dph/programs/hcq/dhpl/nursing/nursing-practice/aprn/practice-and-prescriptive-guidelinesauthority.html). Mandated topics include pain management, identification of individuals with high risk for substance abuse, and patient counseling (including side effects, storage, and addiction risk). 

RNs are required to complete 15 contact hours every 2 years. 

Kentucky

RNs must have proof of earning 14 approved contact hours or one of the other competency options stated by the Kentucky BON (see website link). Other required courses: Pediatric Abusive Head Trauma, also known as “Shaken Baby Syndrome.” 1.5 hours. This is a one-time CE requirement covering the recognition and prevention of pediatric abusive head trauma. Nurses licensed as of July 15, 2010 have until December 31, 2013 to complete the course. Nurses licensed after that date have three years from the date of licensure to complete the course. Course: HIV/AIDs- All nurses are required to earn two contact hours of approved HIV/AIDS CE within the appropriate ten-year period. 

Louisiana

No specific CNM continuing education requirements (only RN requirements)

RN: The annual continuing education requirement is based on employment: 5 contact hours (full-time nursing practice), 10 contact hours (part-time nursing practice), or 15 contact hours (not employed or worked less than 160 hours). 

Michigan

CNM renewal no additional requirements from RN renewal requirements

All Michigan licensed nurses must complete 25 hours of board approved continuing education, with at least one hour in pain and symptom management, within the two years immediately preceding the expiration date of their license.  Beginning with the 2017 renewal cycle all Licensees must complete a one-time training in identifying victims of human trafficking. This requirement must be completed prior to the 2019 renewal cycle. Require one hour in pain and symptom management 

Minnesota

No additional continuing education requirement from RN license requirements. RNs must complete 24 contact hours every 2 years. 

Mississippi

The APRNs in Mississippi need to renew their credentials biennially. The renewal requirements are continuing education, and APRNs need to complete 40 contact hours in relevant practice areas. 

Missouri

No continuing education requirements

Montana

A nurse-midwife holding a prescriptive authority certificate must complete 16 hours of continuing education in advanced pharmacology within the biennial renewal period. The biennial renewal period will run from January 1 of the odd year to December 31 of the even year. 

Nevada

Complete 2 hours of Continuing Education related to the misuse and abuse of controlled substance for APRNs 


For re-licensure, RNs must have completed 30 hours of nursing-related continuing education in the previous 24 months, and must have completed the state-required bioterrorism course.  

Nebraska

No specific continuing education requirements for CNMs (just RN requirements)

Renewal requirements for RNs: Must be 20 contact hours within the last renewal period. Must be related to the practice of nursing. At least 10 of the 20 hours must be formally peer reviewed* and approved continuing education. Up to 4 hours may be CPR or BLS courses.  

New Hampshire

No specific CNM requirements (just RN requirements)

RN: 30 contact hours in 2 years immediately preceding license application including workshops, conferences, lectures or other education offerings designed to enhance nursing knowledge, judgment, and skills. There is no limit to the number of contact hours that can be completed through independent study. 

New Jersey

No specific CNM continuing education requirements (only RN requirements)

RN: 30 contact hours every two years for RNs (Mandatory one-hour tissue organ donation course required) 

New Mexico

No CNM continuing education requirements for renewal (only RN). RNs are required to complete 30 hours of approved CE within the 24 months immediately preceding expiration of license.  

New York

No CNM continuing education requirements for renewal (only RN). RNs are required to complete 3 contact hours infection control every 4 years; 2 contact hours child abuse (one time requirement for initial license)

North Carolina

No CNM continuing education requirements above and beyond RN requirements listed below.

RN: For re-instatement or re-licensure, a plans for continued competence and completion of one of the following is required.
– National certification or re-certification by a national credentialing body recognized by the Board
– 30 contact hours of continued education
– Completion of a Board approved refresher course
– Completion of a minimum of two semester hours of post-licensure academic education related to nursing practice
– 15 contact hours of continued education and completion of a nursing project as principal investigator or co-investigator to include statement of problem, project objectives, methods, date of completion and summary of findings
– 15 contact hours of continued education and authoring or co-authoring a nursing related article, paper, book or book chapter
– 15 contact hours of continued education and developing and conducting a nursing continuing education presentation or presentations totaling a minimum of five contact hours, including program brochure or course syllabi, objectives, date and location of presentation, and approximate number of attendees
– 15 contact hours of continued education and 640 hours of active practice within previous 2 years 

 

North Dakota

APRN Renewal Requirements Nurse-midwives in in North Dakota must renew their APRN license on a biennial basis upon completion of at least 15 contact hours of pharmacotherapy continuing education. The completion of these continuing education hours also fulfills the RN renewal requirements. 

For RN license renewal, the nurse must meet the continued competence requirements. Included in this requirement is the completion of 12 contact hours of continuing education. All CE required for license renewal may be obtained online.  

Ohio

Once an APRN has been granted permission to work in the midwife field, they will then have to renew both their RN license and COA to continue employment in Ohio. A fee is required for RN licensing renewal, which can be done online in most cases. Additionally, RNs need to have 24 hours of continuing education to seek renewal of their license. 

Oklahoma

No specific CNM continuing education requirements (only RN)

RN: Beginning 08/27/2015 RNs and LPNs must complete one of the following options within every 2 year renewal period. 1) verify 520 hours of employment a year, or 2) complete 24 hours of continuing education, or 3) verify current certification in a nursing specialty area, or 4) complete a board approved refresher course, or 5) complete 6 academic semester credits hours of coursework at the current level of licensure or higher. 

Oregon

No CNM specific continuing education requirements (only RN)

RN: One-time requirement for seven hours of pain management-related CE. One hour must be a course to be provided by the Oregon Pain Management Commission. The remaining six hours can be your choice of pain management topics. Once this requirement is fulfilled, there is no additional CE requirements for renewal. 

Pennsylvania

A nurse-midwife holding a prescriptive authority certificate must complete 16 hours of continuing  education in advanced pharmacology within the biennial renewal period. The biennial renewal  period will run from January 1 of the odd year to December 31 of the even year. 

30 contact hours every two years for RNs. Beginning in 2014 RNs must complete 2 hours of approved child abuse and recognition and report training every renewal (Act 31)

Rhode Island

CNM: proof of 20 hours of continuing education including four hours of pharmacology 

RNs are required to complete 10 contact hours every 2 years. Online courses are acceptable. 

South Carolina

No specific CNM continuing education requirements (only RN)

RN: Demonstration of competency for renewal of an active RN license biennially requires documented evidence of at least one of the following requirements during the licensure period: – Completion of thirty contact hours from a continuing education provider recognized by the board – Maintenance of certification or re-certification by a national certifying body recognized by the board – Completion of an academic program of study in nursing or a related field recognized by the board – Verification of competency and the number of hours practiced as evidenced by employer certification on a form approved by the Board 

South Dakota

No CNM specific continuing education requirements (only RN)

RN: 30 contact hours in 2 years immediately preceding license application including workshops, conferences, lectures or other education offerings designed to enhance nursing knowledge, judgment, and skills. There is no limit to the number of contact hours that can be completed through independent study. 

Tennessee

CNM w/ Certificate of Fitness: 2 contact hours of continuing education designed specifically to address controlled substance  prescribing practices including the Tennessee Chronic Pain Guidelines

RN: Continuing Education for re-licensure is not mandatory in Tennessee. However, mandatory continuing competency is required in Tennessee. In order to maintain continued competence, the board requires the nurse to have practiced in nursing in the last five (5) years and additionally, the Board sets out standards of competence and requirements to maintain competence. 

Texas

 APRN License Renewal Requirements (Texas Board of Nursing) Maintaining an APRN license in nurse-midwifery in Texas requires the completion of at least 20 contact hours of targeted continuing nursing education in nurse-midwifery on a biennial basis. CNMs that complete these contact hours satisfy both their RN and APRN license requirements. 

Utah

No additional CNM continuing education requirements from RN license. Renewal of an RN license requires one of the following every 2 years: 30 contact hours, OR 200 practice hours and 15 contact hours, OR 400 practice hours. 

Vermont

To renew an APRN license, nurse-midwives in Vermont must show documentation of the completion of at least 400 hours (50 days) of practice in the previous 2 years and proof of current CNM certification.  Maintain AMCB continuing education requirements.

Virginia

No additional CNM continuing education requirements above and beyond RN listed below.

To renew an active nursing license, a licensee shall complete at least one of the following learning activities or courses:

1. Current specialty certification by a national certifying organization, as defined in 18VAC90-19-10; 2. Completion of a minimum of three credit hours of post-licensure academic education relevant to nursing practice, offered by a regionally accredited college or university; 3. A board-approved refresher course in nursing; 4. Completion of nursing-related, evidence-based practice project or research study; 5. Completion of publication as the author or co-author during a renewal cycle; 6. Teaching or developing a nursing-related course resulting in no less than three semester hours of college credit, a 15-week course, or specialty certification; 7. Teaching or developing nursing-related continuing education courses for up to 30 contact hours; 8. Fifteen contact hours of workshops, seminars, conferences, or courses relevant to the practice of nursing and 640 hours of active practice as a nurse; or 9. Thirty contact hours of workshops, seminars, conferences, or courses relevant to the practice of nursing. 

Washington

CNMs in Washington must renew their ARNP license every two years on or before their birthday. License renewal is dependent upon the completion of at least 30 contact hours of continuing education during the renewal period. 

RN: Required to keep documentation showing at least 531 hours of active practice and 45 clock hours of continuing education within a three year cycle. The first cycle starts on your first birthday after initial licensure. You must attest every three years to reflect you have met the requirements for both practice and continuing education. The Nursing Care Quality Assurance Commission adopted rules in WAC 246-840-200 through 260 for an independent continuing competency program effective January 2011 and recently updated effective January 2016. 

West Virginia

No CNM specific continuing education requirements (only RN listed below)

RN: Completion of the 12 contact hours of CE required for RN re-licensure may be accomplished by:

 1. Completing 12 contact hours of CE from an approved CE provider; or

 2. Completing 6 contact hours of CE from an approved CE provider which may include 2 contact hours of self-study and one of the following completed during the reporting period:

              A. National certification initially earned or in effect the entire reporting period

              B. Completion of a nursing research project as principal investigator, co-investigator or project    

                   director

              C. Published a nursing related article in a national nursing or healthcare journal

              D. Developed and presented a professional nursing education presentation

              E. Participated as a clinical preceptor for at least one student or one new employee 

                   undergoing orientation and have one hundred-twenty hours of one-on-one relationship as a 

                   clinical preceptor during the reporting period

              F. Evidence of satisfactory evaluation of employment that covers at least six months of the 

                  reporting period; or G. Completion of an approved nursing refresher or re-entry course. There 

                  is also a 1-time 2-contact hour requirement for end of life care including pain  

Wisconsin

No continuing education requirements above and beyond NARM certification renewal

Wyoming

An APRN who seeks prescriptive authority will need 30 contact hours of recent coursework in pharmacotherapeutics or pharmacology/ management of patient drug treatment. Two semester hours or three quarter hours will be accepted as the equivalent. Coursework must have been completed during the five year period preceding application.  NO CNM continuing education requirements above and beyond RN licensure.

Requirement for RN re-licensure: 20 contact hours in the last 2 years OR Combination of Nursing practice and contact hours OR Minimum 1600 hours in Nursing practice in the last 5 years OR Minimum 500 hours in Nursing practice in the last 2 years OR Passing NCLEX within the last 5 years OR National certification in specialty area in last 5 years OR Completion of a refresher/orientation program in the last 5 years  

Guam

No additional CNM CEU requirements above and beyond RN licensure.

Registered nurses shall submit evidence of thirty (30) hours of continuing education (CE) activities/seminars within the renewal period. The renewal period is biennially by September 30th of odd numbered years. 

As of 1/1/2021

Want to Learn More?

Mission to protect and serve the public by leading the certification standards in midwifery

American Certification Board Of Midwifery

The American Midwifery Certification Board (AMCB) is the national certifying body for candidates in nurse-midwifery and midwifery who have received their graduate level education in programs accredited by the Accreditation Commission for Midwifery Education (ACME). 

The Certificate Maintenance Program (CMP) is designed to assist CNMs/CMs to demonstrate specified levels of knowledge not only at the time of initial certification but throughout an individual’s professional career.

Individuals who have not completed the requirements of the CMP at the end of their current certification cycle will not be issued a new certificate. Individuals without current/valid CNM/CM certificates may not be able to continue to practice midwifery depending on their state licensing/regulating bodies.

The objectives of the Certificate Maintenance Program are to:

  • Keep CNMs/CMs certifications valid and current.
  • Foster critical review of recent advances in midwifery practice.
  • Provide documentation of CNMs/CMs certification status as required to credentialing/licensing authorities.
Approved Accreditation Programs

The Certificate Maintenance Program accepts continuing education units approved by the following organizations to satisfy the 20 contact hours requirement:

  • ACNM
  • ACCME (Accreditation Council for Continuing Medical Education) Category 1
  • AMA (American Medical Association) PRA Category 1
  • AAFP (American Academy of Family Physicians)
  • AANP (American Academy of Nurse Practitioners)
  • NPWH (National Association of Nurse Practitioners in Women’s Health)
  • ACPE (Accreditation Council for Pharmacy Education)
Certificate Maintenance Program Requirements
Certification for CNMs/CMs can be maintained by one of the following methods:

          Option 1: AMCB Certificate Maintenance Module Method

Successfully complete 3 AMCB Certificate Maintenance Modules during the five-year certification cycle. The five-year cycle begins with the year following certification. One module must be completed in EACH of the three areas of   practice: Antepartum and Primary Care of the Pregnant Woman; Intrapartum, Postpartum, and Newborn; and Gynecology and Primary Care for the Well-Woman.

AND

Obtain 20 contact hours of approved continuing education units.
***The Certificate Maintenance Modules completed cannot count toward the required 20 contact hours

AND

Paying annual fees and any applicable late fees for each of those years and any other charges or fees (e.g., for articles ordered). All fees must be paid in full by December 31st of the year your certificate will expire.

AND

Completion of the online Recertification Application once all other CMP requirements are submitted.

            Option 2: Reexamination Method 

Take the current AMCB Certification Examination no sooner than the fourth (4th) year of the current five-year certification cycle.

  • Once the exam is taken, the CNM/CM may not change to Option 1.
  • The exam must be passed by the end of the fifth (5th) year of the certification cycle.
  • Criteria for passing and retaking the exam will be the same as those in effect for first time candidates at the time the exam is taken.

AND

Paying the National Certification Examination fee ($500) in lieu of annual fees.

AND

Completion of the online Recertification Application once all other CMP requirements are submitted.

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