Home Birth Midwives in Wyoming 6 verified listings, Costs, Licensing, and Insurance
Wyoming licenses direct-entry midwives through the Wyoming Board of Midwifery, created in 2010, and CNMs through the Wyoming State Board of Nursing with full practice authority. Home birth packages typically run $4,000 to $6,500. Wyoming Medicaid reimburses CNMs and enrolled licensed midwives, all fee-for-service, so confirm enrollment with each practice. Home birth communities exist in Cheyenne, Casper, Laramie, and Jackson Hole.
Wyoming licenses direct-entry midwives through a Board of Midwifery created in 2010, and its CNMs practice with full authority under the Board of Nursing. The law is not the constraint here. Wyoming has the smallest population of any US state, and home birth supply is correspondingly thin. Communities exist in Cheyenne, Casper, Laramie, and Jackson Hole, with very limited coverage elsewhere. Distance is the binding variable across most of the state. This guide covers what to know about the legal landscape, what home birth costs in Wyoming, and how to evaluate the midwife you are considering.
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Sources cited (4)
- Wyoming Board of Midwifery
- NASHP Midwife Licensing and State Medicaid Reimbursement Policies (2022)
- Wyoming Department of Health
- Wyoming State Board of Nursing
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Wyoming's regulatory landscape
Wyoming licenses direct-entry midwives. The Wyoming Board of Midwifery, created by the legislature in 2010, issues licenses, offers licensure by endorsement for midwives licensed in other states with comparable requirements, and runs a public license lookup at midwifery.wyo.gov. Verify any direct-entry midwife there before your first consultation.
NARM CPM certification is national and verifiable independently at narm.org. Check both: the Wyoming license and the certification behind it.
Wyoming CNMs are licensed by the Wyoming State Board of Nursing as advanced practice registered nurses with full practice authority, meaning no physician collaborative agreement is required. That matters in a state where the nearest collaborating physician could be hours away.
What this means for you: Anyone practicing midwifery in Wyoming needs a Wyoming license. Some practitioners serving Wyoming families are based in Colorado, Montana, or Utah and travel in; if a border-state midwife offers to attend your birth in Wyoming, check her name in the Board of Midwifery lookup first.
What home birth costs across Wyoming
Wyoming midwife packages run $4,000 to $6,500.
Cheyenne: $4,500 to $6,000. Capital city, often shared with Fort Collins Colorado practitioners.
Casper: $4,000 to $5,500. Largest city in central Wyoming.
Laramie: $4,000 to $5,500. University of Wyoming community supports a small but stable home birth practice.
Jackson Hole and Teton County: $5,500 to $6,500. Higher cost of living and limited supply push prices up.
Sheridan, Gillette, Cody, Rock Springs, and rural Wyoming: midwife scarcity is severe. Distances are vast; some families travel for prenatal visits or work with practitioners who travel from out of state.
Labs, ultrasounds, and birth supplies are typically billed separately, adding $200 to $500. Wyoming-specific travel fees for rural attendance can add additional cost.
| Label | Detail | Value |
|---|---|---|
| Cheyenne | $5,250 | |
| Casper | $4,750 | |
| Jackson Hole | $6,000 |
Wyoming Medicaid and home birth
Wyoming Medicaid covers CNM services as a federal mandatory benefit and reimburses licensed midwives who enroll as providers; enrollment takes an application plus a copy of the license, and midwifery services are included in the global maternity payment. Wyoming has no Medicaid managed care, so there is no network to check. The questions are whether your midwife is enrolled and whether the service is covered for your eligibility category. Not every licensed midwife enrolls, so ask each practice directly and confirm coverage with Wyoming Medicaid before you sign a contract.
For full details, see our Wyoming Medicaid home birth guide.
For commercial insurance, most Wyoming home birth midwives are out-of-network. Standard process: pay the midwife, get a superbill at birth, submit for reimbursement. PPO plans typically reimburse 50 to 80 percent of allowed amount after deductible. See our OON reimbursement guide.
Midwife availability and transfer hospitals
Cheyenne: Cheyenne Regional Medical Center. Many Cheyenne families use Medical Center of the Rockies (Loveland CO) or UCHealth in Fort Collins.
Casper: Banner Wyoming Medical Center.
Laramie: Ivinson Memorial Hospital.
Jackson Hole: St. John's Health (Jackson). Limited NICU; serious cases transfer to Idaho Falls or Salt Lake City.
Sheridan: Sheridan Memorial Hospital.
Gillette: Campbell County Memorial Hospital.
Cody: Cody Regional Health.
Rock Springs: Memorial Hospital of Sweetwater County.
Rural Wyoming: distances to a hospital with full obstetric services often exceed 60 to 120 minutes. Drive your route once before your due date. Wyoming weather closes interstate highways more often than residents of other states realize; have a plan for I-80 and I-25 closures.
Red flags and what to ask
A license is a floor, not a guarantee, so your due diligence still carries weight. Reconsider any Wyoming midwife who cannot produce a current Wyoming Board of Midwifery license (or Wyoming CNM license), cannot tell you her transfer rate, claims she has never needed to transfer without explanation, doesn't perform a clinical health history before accepting you, is vague about emergency protocols, or doesn't carry the standard emergency medications and equipment.
Ask before hiring: Are you licensed with the Wyoming Board of Midwifery, or as a Wyoming CNM? Show me the lookup entry. How many births have you attended total, and how many in the last 12 months? What is your transfer rate for first-time mothers (honest numbers run 22 to 45 percent per documented research)? What emergency medications do you carry, and when did you last use each? Walk me through your postpartum hemorrhage protocol. Which hospital do you use for transfers, and have you transferred a client there in the last 12 months? What is your winter weather plan, and what happens if I-80 closes? Can I speak with three recent clients?
Call the references.
Where to go from here
Wyoming's home birth landscape is real but very thin. The constraints across the state are supply, distance, and weather.
Start your search by week 8 in Cheyenne, Casper, and Laramie. In Jackson Hole and rural Wyoming, start as early as you can. Verify any direct-entry midwife's license in the Wyoming Board of Midwifery lookup at midwifery.wyo.gov, plus her NARM CPM certification at narm.org.
Use the matching form below: tell us your due date, ZIP code, insurance type, and birth history.
Neighboring states
Many home birth families consider midwives across state lines, especially near borders. See guides for nearby states:
Bottom line: Wyoming licenses direct-entry midwives through the Board of Midwifery, created in 2010, and its CNMs practice with full authority. Wyoming Medicaid reimburses CNMs and enrolled licensed midwives fee-for-service; confirm enrollment with each practice. Verify licenses at midwifery.wyo.gov. Start your search by week 8 in Cheyenne, Casper, Laramie, and Jackson Hole.
- Wyoming Board of Midwifery. Wyoming maintains a Board of Midwifery, created in 2010, that licenses direct-entry midwives and offers licensure by endorsement and a public license lookup.. View source
- NASHP Midwife Licensing and State Medicaid Reimbursement Policies (2022). Wyoming Medicaid reimburses licensed midwives who complete an enrollment application with a copy of licensure; midwifery services are included in the global maternity payment.. View source
- Wyoming Department of Health. The Wyoming Department of Health issued a public and tribal notice on the addition of licensed midwives as Wyoming Medicaid providers.. View source
- Wyoming State Board of Nursing. Wyoming CNMs are licensed by the Wyoming State Board of Nursing and practice with full practice authority.. View source
▶ How we research and review this content Editorial standards
Every guide on Home Birth Partners is researched against primary sources (federal regulations, peer-reviewed clinical literature, and state-level licensing boards) and reviewed by a credentialed midwife before publication.
We update articles when source data changes, when state laws are revised, or at minimum every 12 months. The "Last reviewed" date in the byline reflects the most recent review.
If you spot an error or have a primary source we should add, email [email protected].