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Certified Nurse Midwife — CNM/CM
Total cost: $145
Yes
AMCB Required
Restricted
Practice Authority
Yes
Prescriptive Auth
No
APRN Compact
30 hrs
CE Hours
$145
Total Initial Fees
Graduate Degree & ACME Accreditation
VerifiedGraduate Degree
Required
Accreditation
ACME (Accreditation Commission for Midwifery Education)
Degree Type
MSN (Master of Science in Nursing) or DNP (Doctor of Nursing Practice)
Clinical Hours
700 hrs
Certified Nurse Midwives must complete a graduate-level midwifery program accredited by the Accreditation Commission for Midwifery Education (ACME). Programs typically lead to an MSN or DNP degree and include extensive clinical hours in prenatal care, labor and delivery, postpartum care, and gynecological services.
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National Certification Requirements
VerifiedAMCB Certification Required
American Midwifery Certification Board
AMCB (American Midwifery Certification Board) Certification Examination
Exam Name
Scaled score determined by AMCB; criterion-referenced pass/fail
Passing Score
The AMCB (American Midwifery Certification Board) administers the national certification exam for nurse-midwives. The CNM certification requires graduation from an ACME-accredited program and passing the AMCB certification exam. Certification must be maintained through continuing education and periodic recertification.
AMCB (American Midwifery Certification Board) Certification Examination
Passing Score
Scaled score determined by AMCB; criterion-referenced pass/fail
How long should you study? Most candidates study 2–4 weeks before taking the AMCB (American Midwifery Certification Board) Certification Examination.
Practice Authority & Prescriptive Rights
VerifiedPractice Authority Level
Restricted
Prescriptive Authority
Granted
Controlled Substances
Schedule III-V with physician supervision; limited Schedule II
Collaborative Agreement Required
Does Not Have Full Practice Authority
DEA Registration Required for Controlled Substances
Practice authority for nurse midwives varies by state. States with "Full" practice authority allow CNMs to practice independently without a collaborative agreement. "Reduced" practice states require some form of collaboration, and "Restricted" states require physician supervision. Prescriptive authority, including controlled substance scheduling, also varies significantly.
Clinical Scope & Services
VerifiedBirth Attendance
Supervised
Home Birth
Allowed
GYN Care
Yes
Newborn Care
Yes
Hospital Privileges
Hospital privileges available; requires physician supervision protocol
Prescriptive Scope
Prescriptive authority with physician supervision/protocol as required by South Carolina law
Certified Nurse Midwives provide a wide range of women's health services including prenatal care, labor and delivery, postpartum care, gynecological exams, family planning, and newborn care. Scope of practice varies by state and may include home birth attendance, hospital privileges, and prescriptive authority.
| Fee | Amount |
|---|---|
Application Fee | $145 |
License Fee | Included in application fee |
Total Initial Fees Excludes AMCB certification exam fee ($500) and DEA registration fee ($888 for 3 years) | $145 |
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Renewal & CE Requirements
Verified2 years (even years; all licenses expire April 30 of even-numbered years)
Renewal Period
30 hrs
CE Hours Required
$105
Renewal Fee
CE Details
30 contact hours per 2-year renewal cycle; or national certification, academic program, or employer certification
Regulatory Board
CNM licenses must be renewed on schedule with the state board of nursing. Continuing education requirements vary by state and typically include pharmacology hours. AMCB certification must also be maintained separately through the certificate maintenance program, which requires continuing education and periodic recertification.
Out-of-State Reciprocity
VerifiedEndorsement Available
Yes
APRN Compact Pathway
Not Available
Reciprocity Requirements
The APRN Compact allows advanced practice registered nurses, including CNMs, to practice in member states with a single multistate license. For non-compact states, CNMs must apply for licensure by endorsement, which typically requires current AMCB certification, verification of credentials, and meeting state-specific requirements.
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South Carolina requires physician supervision for CNMs. Multiple pathways available for meeting CE requirements.
South Carolina requires AMCB certification for CNM licensure.
Practice authority: Restricted Practice Authority - physician supervision required.
Prescriptive authority: Schedule III-V with physician supervision; limited Schedule II.
30 continuing education hours required per 2 years renewal cycle.
South Carolina has not enacted the APRN Compact.
Home birth attendance by CNMs is permitted in South Carolina.
Nurse Midwife requirements in nearby states
| State | Total Cost | Timeline | |
|---|---|---|---|
| South Carolina (you) | $145 | 382–450 wks | |
| Georgia | $125 | 382–450 wks | → |
| North Carolina | $100 | 382–450 wks | → |
See how South Carolina compares: Nurse Midwife License Fees by State — Cheapest to Most Expensive →
Related Guides
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Nurse Midwife licensing requirements nationwide →
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How does South Carolina compare to other states for nurse midwife? See the full comparison →
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Explore requirements for other professional licenses in South Carolina.
Nurse Midwife Schools in South Carolina
Compare approved training programs, costs, and requirements.
Study guides for the AMCB certification exam.
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Nurse Midwife requirements in South Carolina verified against South Carolina Board of Nursing, March 2026.
Moving to South Carolina? Use our free Transfer Tool to see what you need →
Already licensed elsewhere? See how to transfer your Nurse Midwife license to South Carolina →
Transfer your Nurse Midwife license from South Carolina to: Georgia → | North Carolina →
South Carolina requires AMCB certification for CNM licensure. South Carolina requires a collaborative agreement for CNMs. All licensing is managed through the South Carolina Board of Nursing.
Requirements vary by state. Always verify current requirements with your state licensing authority.