Home Birth Midwives in Texas 296 source-checked listings, Costs, Licensing, and Insurance
There are 294 home birth midwives in Texas, in 126 cities, with the largest groups in Austin, San Antonio, Houston and El Paso. Most are Certified Professional Midwives or Licensed Midwives, and Texas also requires a state Licensed Midwife license for non-nurse midwives, which you can check on the TDLR site.
Texas licenses home birth midwives two ways: Licensed Midwives through the Texas Department of Licensing and Regulation, under Occupations Code Chapter 203, and certified nurse-midwives through the Texas Board of Nursing. In a 2021 national survey of 129 practices, a home birth package averaged $4,650, so ask each Texas midwife for a written quote. Texas Medicaid reimburses a home delivery only with a written prior authorization request in the third trimester, which includes a physician's statement that you are suitable for a home birth, and it does not reimburse Licensed Midwives for home deliveries. The largest groups are in Austin, San Antonio, Houston and El Paso.
On this page
Sources cited (9)
- Texas Department of Licensing and Regulation, Midwives
- TMPPM OB Handbook
- KFF births financed by Medicaid, 2024
- 16 TAC 115.100
- Tex. Occ. Code 203.401
- ACNM reimbursement equity
- 1 TAC 354.1251
- 1 TAC 354.1253
- Texas HHS, Choosing a Health Plan
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View all 294 listings in all 126 cities
Midwives listed in Texas
Texas has 294 midwives in 126 cities. Austin has the largest group (29), then San Antonio (16), Houston (14), El Paso (12) and Dallas (9). Fort Worth, Hurst and New Braunfels each have seven, and Tyler has six.
Most are Certified Professional Midwives or Licensed Midwives. Three are Certified Nurse-Midwives.
Before you hire anyone, look a Licensed Midwife up with TDLR, or a Certified Nurse-Midwife with the Board of Nursing. You can also get a free midwife match or return to the full directory.
What Texas licenses
Texas licenses licensed midwives (LMs) through the Texas Department of Licensing and Regulation, under Occupations Code Chapter 203, with rules at 16 TAC Chapter 115 [1]. Certified nurse-midwives are licensed by the Texas Board of Nursing [1]. The national certified professional midwife (CPM) credential alone is not the Texas license; Texas law requires the state LM license for non-nurse midwives [1].
Verify an LM license with TDLR and a CNM license with the Board of Nursing before you hire [1].
For midwives licensed under Occupations Code Chapter 203, section 203.401 says a midwife may not administer a prescription drug to a client other than a drug given under the supervision of a licensed physician in accordance with state law, prophylaxis approved by the Department of State Health Services to prevent ophthalmia neonatorum, or oxygen administered in accordance with commission rule [2]. That chapter does not apply to certified nurse-midwives [2]. Ask each midwife how she handles medication if a complication arises.
What a home birth costs in Texas
The fee figures on this page are national, not Texas-specific. A 2021 survey of 129 U.S. practices found an average of $4,650, a median of $4,400, and fees from $2,000 to $9,921 [3]. Ask each practice for a written quote.
Our home birth midwife cost guide has the full national tables. For tax-advantaged payment, see using an HSA or FSA for a home birth.
Texas Medicaid and home birth
Ask your Texas Medicaid plan, in writing, whether it pays for a planned home birth, which credentials it enrolls, and whether prior authorization is required. Then ask the midwife whether she is enrolled and accepting Medicaid clients.
The Texas Medicaid Provider Procedures Manual says licensed midwives will not be reimbursed for home deliveries, that home deliveries will not be prior authorized to a licensed midwife, and that home deliveries and home-delivery supplies require a written prior authorization request during the client's third trimester, including a statement signed by a licensed physician who examined the client during the third trimester and determined the client is not at high risk for complications and is suitable for a home delivery [4]. Ask your plan and the midwife to confirm how that applies to you. Our Texas Medicaid home birth page has the state-specific sources.
Hospitals nearby
A hospital being near you does not mean a given midwife transfers there. Ask each midwife which hospital she uses, whether she has a working relationship with it, and who goes with you if you transfer.
Neighboring states
Many home birth families consider midwives across state lines, especially near borders. See guides for nearby states:
Frequently asked questions
How do I find a home birth midwife in Texas?
Start with the Texas midwives on this page, then ask whether she serves your area and has availability around your due date. Austin, San Antonio, Houston, El Paso and Dallas have the largest groups on this page. You can also use the free matching form.
Who can legally attend a home birth in Texas?
Texas licenses licensed midwives through the Texas Department of Licensing and Regulation, under Occupations Code Chapter 203 and 16 TAC Chapter 115. Certified nurse-midwives are licensed by the Texas Board of Nursing. The national CPM credential alone is not the Texas license; many CPMs also hold the state LM license. Verify a license with the board that issued it [1].
Does Texas Medicaid pay for a home birth?
Ask your Texas Medicaid plan, in writing, whether it pays for a planned home birth, which credentials it enrolls, and whether prior authorization is required. Then ask the midwife whether she is enrolled and accepting Medicaid clients. The Texas Medicaid Provider Procedures Manual says licensed midwives will not be reimbursed for home deliveries, that home deliveries will not be prior authorized to a licensed midwife, and that home deliveries and home-delivery supplies require a written prior authorization request during the client's third trimester, including a statement signed by a licensed physician who examined the client during the third trimester and determined the client is not at high risk for complications and is suitable for a home delivery [4].
What does a home birth midwife cost in Texas?
The fee figures on this page are national, not Texas-specific. A 2021 survey of 129 U.S. practices found an average of $4,650, a median of $4,400, and fees from $2,000 to $9,921. Ask each practice for a written quote.
Bottom line: Texas licenses Licensed Midwives through TDLR under Occupations Code Chapter 203, with rules at 16 TAC Chapter 115. [1] The Texas Medicaid Provider Procedures Manual says licensed midwives will not be reimbursed for home deliveries, and that home deliveries require a written prior authorization request in the third trimester. [2] Verify any midwife's license at tdlr.texas.gov. Start your search by week 8 to 10 in Austin, Houston, DFW, and San Antonio.
Looking for a midwife? Find a home birth midwife near you by city or state, or request a free match.
- Texas Department of Licensing and Regulation, Midwives. Texas licenses Licensed Midwives through the Texas Department of Licensing and Regulation under 16 TAC Chapter 115.. View source
- Texas Medicaid & Healthcare Partnership. Texas Medicaid Provider Procedures Manual: Gynecological, Obstetrics, and Family Planning Services Handbook. View source
- KFF. Births Financed by Medicaid (2024 data). State Health Facts. View source
- Texas Department of Licensing and Regulation. 16 Tex. Admin. Code § 115.100, Standards for the Practice of Midwifery in Texas. View source
- Texas Occupations Code § 203.401. Prohibited Practices. https://statutes.capitol.texas.gov/Docs/OC/htm/OC.203.htm#203.401 View source
- American College of Nurse-Midwives. Reimbursement Equity. View source
- Texas Health and Human Services Commission. 1 Tex. Admin. Code § 354.1251. View source
- Texas Health and Human Services Commission. 1 Tex. Admin. Code § 354.1253. View source
- Texas Health and Human Services. Choosing a Health Plan. View source
▶ How we research this content Editorial standards
Researched from primary sources: state statutes and board rules, Medicaid provider manuals and state Medicaid rules, and peer-reviewed research. Each claim links to its source in the References list.
Written by the Home Birth Partners editorial team, not by clinicians, and not clinically reviewed unless a named reviewer appears in the byline.
The "Last updated" date in the byline is the last time this guide's content changed.
Midwives and midwifery associations can suggest a correction. Anyone who spots an error or has a primary source we should add can email [email protected].