1. (a) The council shall provisionally certify a midwife who:

   1. (1) Has met the eligibility requirements of Mid 403.04(a);
   2. (2) Has completed the application process set forth in Mid 403.04(b);

   3. (3) Has updated his or her skills by:

      1. a. Performing the observations described in (b) below; or
      2. b. Gaining the practice experience described in (c) below; and
   4. (4) Has, within 30 days of updating his or her skills as required by (3) above, documented the observations or practice experience in accordance with (d) below.

2. (b) Observation to update skills:

   1. (1) Shall consist in:

      1. a. The observation of at least 2 out-of-hospital births attended by a New Hampshire certified midwife, a CNM, or a midwife authorized to practice in another state regulating the practice of midwifery; and

      2. b. The observation of at least 2 sets of client visits by a New Hampshire certified midwife, a CNM or a midwife authorized to practice in another state regulating the practice of midwifery:

         1. 1. Each set consisting in at least 2 prenatal visits and one postpartum visit; and
         2. 2. At least one of the sets consisting in visits with the client whose out-of-hospital birth was also observed; and
   2. (2) Shall be performed once for every year or part of a year that the New Hampshire certificate has been expired, provided that the total number of observations shall not exceed 6.

3. (c) Practice experience to update skills:

   1. (1) Shall consist in acting, under licensure, certification, or other authorization, as the primary midwife for a client located in another state regulating the practice of midwifery; and
   2. (2) Shall be performed once for every year or part of a year that the New Hampshire certificate has been expired provided that the total number of practice experiences shall not exceed 6.

4. (d) Documentation of the updating of skills shall be:

   1. (1) If the updating of skills is through observation as described in (b) above, for each observation a letter signed by the midwife being observed or by the midwife's client, stating:

      1. a. The kind of visit observed;
      2. b. The date of the observation;

      3. c. For the midwife observed:

         1. 1. His or her name; and
         2. 2. The state and number of his or her certificate, license or other authorization to practice midwifery;
      4. d. The client's name, if the client agrees to its use for this purpose; and
      5. e. The town and state of the out-of-hospital birth; and

   2. (2) If the updating of skills is through practice experience as described in (c) above, for each instance of acting as the primary midwife:

      1. a. A photocopy of the certificate, license, or other authorization to practice issued by the state in which he or she acted as primary midwife; and

      2. b. A letter signed by the client, stating:

         1. 1. The client's name;
         2. 2. The town and state of the out-of-hospital birth; and
         3. 3. The beginning and ending dates of the midwife's care for the client.
5. (e) A provisional certificate shall be valid for no more than 78 weeks from the date of its issuance.

Source. #9089, eff 2-20-08, EXPIRED: 2-20-16 New. #11095, INTERIM, eff 5-12-16, EXPIRED: 11-8-16 New. #12040, eff 11-10-16