All CNM certifications issued by the Department expire on 10/31 of each even-numbered year. To renew a certification, the applicant must submit the renewal notice attesting to having met the requirements of continued competency, pay the renewal fee of $30 dollars, and have an active Nebraska RN license or pay the renewal fee of $32 dollars if you hold a multi-state license from a compact state. CNMs who fail to renew their certification will automatically have their state certification placed on a lapsed status.

The continued competence requirements the CNM must meet are as follows:

• Submission of a letter of reference from a licensed practitioner or CNM that the renewal applicant is currently competent to practice as a CNM, and the referencing licensed practitioner or CNM bases such statement on observance by that licensed practitioner or CNM of the applicant’s practice of at least 850 hours of practice as a CNM within the previous 2 years, or
• Submission of a letter of reference from a licensed practitioner or CNM that the applicant is currently competent to practice as a CNM, and the referencing licensed practitioner or CNM bases such statement on observance by that licensed practitioner or CNM of the applicant’s practice of at least 2080 hours of practice as a CNM within the previous 5 years,