Our directory lists 16 home birth midwives in San Antonio, Texas: one Certified Nurse-Midwife (CNM), 12 Certified Professional Midwives (CPM) and 3 Licensed Midwives (LM). Before you hire anyone, ask about her license, the area she covers and her openings near your due date.
Midwife Directory Listings in San Antonio
Midwife Listings Near San Antonio
Another 8 midwives practice in nearby Texas towns, listed below with rough distances.
These Texas listings are in nearby towns. Distances are straight-line from San Antonio and are approximate. Home birth midwives often travel to clients, so ask each practice whether it serves your address. Only Texas listings appear here because midwifery licenses do not carry across state lines.
- Heather Lynn Randolph, Certified Professional Midwife (CPM)Helotes, TX · about 12 mi
- Mackenzie Raye Thomas, Licensed Midwife (LM)Cibolo, TX · about 21 mi
- April R Bland, Certified Professional Midwife (CPM)Pipe Creek, TX · about 24 mi
- Julie Hatfield, Certified Professional Midwife (CPM)Somerset, TX · about 24 mi
- Bethany Grace Adrian, Certified Professional Midwife (CPM)Boerne, TX · about 24 mi
- Jennifer Laureen Kelleher, Certified Professional Midwife (CPM)Boerne, TX · about 24 mi
- Tracy Edwards, Licensed Midwife (LM)Elmendorf, TX · about 26 mi
- Kelly Ann Baumgartner, Licensed Midwife (LM)New Braunfels, TX · about 27 mi
Planning a Home Birth in San Antonio
Our San Antonio area listings include Helotes, Boerne, Cibolo, New Braunfels, Somerset, Elmendorf, and Pipe Creek. Home birth midwives usually travel to the family, so a practice based in one of those towns may still serve your address. The nearby listings above show straight-line distance only; ask each practice whether your address is inside its service area.
Licensing. Texas licenses non-nurse midwives as Licensed Midwives (LMs) through the Texas Department of Licensing and Regulation, and the national CPM credential alone is not sufficient to practice in Texas. Certified Nurse-Midwives are licensed by the Texas Board of Nursing. You can check an LM license on the TDLR midwives program site and a CNM license with the Texas Board of Nursing license lookup.
Texas Medicaid. 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 (Texas Medicaid Provider Procedures Manual). See the Texas Medicaid home birth guide.
Cost. We know of no published survey of San Antonio area home birth fees. A national survey of 129 home birth practices in 49 states reported an average fee of $4,650 and a median of $4,400, with a range of $2,000 to $9,921 (Anderson and Gilkison, IJERPH 2021). Ask each practice for a written quote.
More directories. The San Antonio Area Midwives Association keeps a find a midwife directory for the region, and the Association of Texas Midwives has a statewide directory.
Home Birth Cost in San Antonio
Use this range only as planning context. Ask each practice for a current written quote that identifies included care, separately billed services, supplies, assistant fees, and refund terms. Confirm insurance and HSA/FSA eligibility with the relevant plan administrator or tax professional.
Insurance Coverage for Home Birth in Texas
These summaries are starting points, not benefit guarantees. Coverage depends on provider credentials, network status, services, and the specific plan.
Verify benefits and participating providers directly with the insurer before signing a contract. Ask the practice what documentation it can provide for a coverage or reimbursement request.
Hospitals Near San Antonio
These nearby facilities come from our public hospital dataset. Their presence here does not establish a transfer arrangement with any listed midwife. Ask each practice to explain its current transfer plan and receiving facilities.
Midwife Licensing in Texas
Texas licenses non-nurse midwives as Licensed Midwives through the Texas Department of Licensing and Regulation under Occupations Code Chapter 203, with rules at 16 TAC Chapter 115. The national CPM credential alone is not sufficient; Texas law requires the state LM license. 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. That chapter does not apply to certified nurse-midwives. Ask each midwife how she handles medication if a complication arises. CNMs are licensed by the Texas Board of Nursing; verify an LM license at tdlr.texas.gov.
Directory source checks do not replace current license verification. Ask the practice which credential or license applies to its services and confirm it with the relevant state board or credentialing organization.
What to Confirm With Each Practice
Ask whether the practice currently attends home births in your ZIP code, whether it has availability around your due date, which credentials and licenses apply, what its package includes, and how it handles insurance and billing. Clinical suitability and care decisions should be discussed directly with a qualified health professional who knows your circumstances.
Frequently Asked Questions
How much does a home birth midwife cost in San Antonio?
Our national sample ranges from $2,000 to $9,921, but local fees and included services vary. Request a current written quote from each practice.
Does Medicaid cover home birth in Texas?
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. Ask your plan and the midwife to confirm how that applies to you.
Does every listed San Antonio midwife attend home births?
No. A listing does not by itself establish a provider's current birth setting, service area, licensure, or availability. Confirm each item directly with the practice.
What should I confirm before contacting a San Antonio midwife?
Confirm current credentials, home birth services, geographic service area, availability, fees, insurance policies, and contact information.
What does a claimed profile tell me?
A claimed profile may include provider-submitted availability, insurance, pricing, service area, and practice details. Confirm time-sensitive information directly before making a care decision.
What is the difference between a CPM and a CNM in Texas?
A CPM is a midwifery credential focused on out-of-hospital practice. A CNM is an advanced-practice nursing credential and may be used in hospital, birth center, clinic, or home settings. State licensing rules differ. Confirm each provider's current credential, license, and setting directly.
How do I choose the best midwife in San Antonio, TX?
There is no official ranking of midwives, and Home Birth Partners does not rank the practices it lists. Families usually compare current license status, home birth experience, the emergency transfer plan and receiving hospital, fees and what they include, and availability around the due date. Texas licenses non-nurse midwives as Licensed Midwives through the Texas Department of Licensing and Regulation under Occupations Code Chapter 203, with rules at 16 TAC Chapter 115. Verify each midwife's license before hiring. Our midwife interview guide lists questions to ask.
How do I check a licensed midwife in San Antonio?
Texas Licensed Midwives are licensed by the Texas Department of Licensing and Regulation, and Certified Nurse-Midwives by the Texas Board of Nursing. Search the midwife's name on the TDLR or Board of Nursing license lookup before your first paid appointment.
Should I look at a birth center or a home birth midwife in San Antonio?
Some Texas midwives practice in freestanding birth centers and some attend home births. Texas Medicaid reimburses a licensed midwife for specified prenatal, labor and delivery, immediate postpartum and newborn services only when the service is provided in a freestanding birthing center licensed under Health and Safety Code Chapter 244 and approved by HHSC, and the midwife is enrolled in Medicaid. The Texas Medicaid Provider Procedures Manual says licensed midwives will not be reimbursed for home deliveries. Ask each practice which settings it offers and where it would transfer care if needed.
Nearby Cities in Texas
Browse midwife listings in nearby Texas cities, closest first. Confirm each practice's current service area and birth settings directly. Search all states and cities.