Midwives

Midwifery services are a benefit under the B.C. Midwifery Program for eligible British Columbia residents enrolled with the Medical Services Plan (MSP).  They are funded by the Ministry of Health.

Midwives in B.C. offer primary health care to healthy pregnant women and their newborn babies from early pregnancy, through labour and birth, and up to six weeks postpartum.

All new Midwives enrolling with MSP in B.C. will be required to sign a form as part of the registration process.

Midwifery Agreements and Payment Schedule

The following documents are related to the most recent agreements between the MABC and the Ministry of Health.

Current Agreements:

Midwifery Referrals

Midwives can make referrals to many medical specialists, and directly request many diagnostic procedures and laboratory tests.

  1. Medical Specialists that Midwives may refer to for Consultations
SPECIALTY SPECIALTY CODE
ANAESTHESIA 18
CARDIOLOGY 26
DERMATOLOGY 01
ENDOCRINOLOGY 51
GASTROENTEROLOGY 56
GENERAL SURGERY 08
HEMATOLOGY ONCOLOGY 74
INFECTIOUS DISEASES 67
INTERNAL MEDICINE 15
NEPHROLOGY 59
OBSTETRICS & GYNAECOLOGY 05
ORTHOPEDIC SURGERY 10
PAEDIATICS 14
PSYCHIATRY 03
  1. Procedures that Midwives may request directly for Patients
FEE ITEM NAME FEE CODE
AMNIOCENTESIS, TRANSABDOMINAL 00787
DOPPLER ECHOCARDIOGRAPHY 08679
FOETAL HEART MONITORING  - INTERPRETATION ONLY 00790
GUIDED AMNIOCENTESIS 04680
INJECTION, VENEPUNCTURE 00012
OBS B SCAN (14 WKS GESTATION OR OVER) - ADD FETUSES 86051
OBS B SCAN < 14 WKS/NUCHAL TRANSLUCENCY - ADD FETUS 86056
OBS.B-SCAN < 14 WKS/NUCHAL TRANSLUCENCY-SINGLES 86055
PELVIC B SCAN – NON-OBSTETRICAL 08653
RENAL B SCAN 08649
  1. Laboratory Tests that Midwives may request directly for Patients

The Laboratory Services Act (LSA) came into force on October 1, 2015. The LSA replaces the Medicare Protection Act and the Hospital Insurance Act as the authority for insuring laboratory services and consolidates the responsibility for all publicly-funded laboratory services in British Columbia. For information on laboratory service benefits under the Laboratory Services Act, visit the Laboratory Services website.

There are currently 100 different laboratory tests that Midwives may request directly for their patients.

Listing of Laboratory Tests Midwives may Request (PDF, 113KB)

Enrolment

Midwives who are licensed by the College of Midwives of British Columbia (CMBC) are eligible to enrol with MSP and obtain MSP billing numbers.

Enrolment status, and, therefore, the possession of an active billing number, is contingent upon the practitioner's continued licensure by the CMBC. Any change in licensure must be reported to HIBC to avoid errors in the processing of claims.

Preamble and Payment Schedule

Midwives can provide a wide array of services to their patients. However, only the services listed in the MSC Payment Schedule can be billed to MSP.

Referrals

Midwives can make referrals to many medical specialists, and directly request many diagnostic procedures and laboratory tests. Learn more about what referrals are billable to MSP and how to make a referral.