CNM Practice

• All Certified Nurse Midwives (CNM) must hold an active South Dakota nursing license to practice nursing.
• CNMs who are practicing in South Dakota, in-person or by telehealth, must follow South Dakota's practice laws as outlined in SDCL 36-9A-13.
• Nurses and employers are encouraged to use the Board's approved APRN Scope of Practice Decisioning Algorith as a guide to making decisions on whether a specific task, intervention, or activity is in a CNM's scope.

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Telehealth

• All health care providers, including nurses, are expected to adhere to the requirements in SDCL 34-52  when providing services to patients located in South Dakota through telehealth. SDCL 34-52 includes the definition of telehealth and the requirements for treatment of patients, provider-patient relationship and exceptions, consultation recommendations, examination, prescribing, informed consent, and medical records.

Collaboration Requirement

• Pursuant to SDCL 36-9A-13.1, all CNMs are expected to collaborate with other health care providers and refer or transfer patients as appropriate.
• Collaboration is deined in SDCL 36-9A-1 (6) as "the act of communicating pertinent information or consulting with a licensed physician or other licensed health care provider with each provider contributing the provider's respective expertise to optimize the overall care delivered to the patient".
• To practice without a collaborative agreement, a CNM must have on file with the Board office a Practice Verification Form verifying a minimum of 1,040 licensed practice hours within the role of a CNM. 
• The Board's Verification Site provides information on a CNM's practice authority status.

Out-of-Hospital Birth Practice

Prior to attending Out-of-Hospital (OOH) births a CNM must submit a signed CNM OOH Birth Practice Guidelines agreement to the Board, pursuant to 20:62:03:10. The following CNMs have been approved to attend OOH births in South Dakota:

• Iva Bigge, Yankton, for more information visit Little Things Midwifery
• Tammi Chaney, Platte, Dakota Midwifery & Women's Health
• Chelsea Iversen, Rapid City, for more information email Morning Star Midwifery
• Belinda Lassen and Kari Ney, Sioux Center, for more information visit Promise Community Health Center
• Sarah Roe and Erin Vande Lune, Sioux Falls, Flourish Wellness and Birth, email sarah@flourishbirthco.com and erin@flourishbirthco.com
• Luanne Uriel, Rapid City, for more information visit New Life Midwifery Care
• Annette Weller, Rapid City, for more information visit Black Hills Midwifery

Prescribing

• Upon licensure a CNM may prescribe, procure, furnish, and administer over-the-counter, legend, and controlled substance (CS) drugs within the CNM's licensed role and focus area.
• South Dakota CS drugs, schedules II-IV, are listed in SDCL 34-20B. CNMs who order CS drugs must meet requirements and be registered with the Federal DEA, South Dakota Controlled Substance Registration, and the South Dakota Prescription Drug Monitoring Program (PDMP).
• Review South Dakota specific information in ARSD 20:62:03:11 on requirements for providing drug samples, documentation, and guidelines for treating chronic, non-cancer pain.
• Review more information on prescribing opioids in the CDC's document, 2022 Clinical Practice Guideline for Prescribing Opioids for Pain, and the Agency for Healthcare Research and Quality's (AHRQ) Toolkit for Primary Care Providers who Manage Patients Taking Opioids.

Other Resources

• Find information on obtaining a National Provider Identifier Number on the NPI's website.
• Find informaiton on CMS Billing Guidelines on the CMS website.

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