Information for 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.

As of April 1, 2012, the Ministry renewed its Midwifery Master Agreement with the Midwives Association of British Columbia (MABC).

This agreement replaces all existing agreements and contracts for Midwifery services funded by MSP.

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

Application for MSP Billing Number (Midwives) Form
(effective April 1, 2009)

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:

Current Preamble and Payment Schedule (Effective April 1, 2012)

NEW – MIDWIFERY REFFERALS

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

  1. Medical Specialists that Midwives may refer to for Consultations
  2. 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

    All medical services provided by these specialists,  resulting from a referral by a midwife, will be processed as per MSP policy.

  3. Procedures that Midwives may order directly for Patients
  4. 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
    VENEPUNCTURE 90000
  5. Laboratory Tests that Midwives may order directly for Patients
  6. There are currently 100 different laboratory tests that Midwives may order directly for their patients.

    Listing of Laboratory Tests Midwives may Order (PDF  20K)

MSP Enrolment and Claims Processing and Payment

Payments for Midwifery services are made through the MSP claims submission and processing system - usually electronically via Teleplan.  Midwifery services provided to MSP beneficiaries, when they are out of the province, are not a benefit under the Medical Services Plan.

Health Insurance BC (HIBC) is responsible for enroling Midwives and processing claims. Their on-line information for Health Care Professionals includes:

  • Information on Teleplan (submitting claims electronically)
  • Enroling with MSP
  • Payment of Fee-for-Service Claims
  • Forms for Practitioners; and
  • Contact Information (for HIBC program areas e.g. Coverage Inquiries, Claims Services etc.)

The HIBC web site can be accessed at:
http://www.health.gov.bc.ca/insurance/pros.html

All inquiries about enrolment with MSP or claims processing and payment issues should be directed to

HIBC – Practitioner Services

Vancouver:  604 456-6950
Toll-Free:  1-866 456-6950

For more information about Midwifery services in British Columbia, visit

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