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A nurse practitioner or nurse midwife may request , receive , and dispense prepackaged drug samples which the nurse practitioner / nurse midwife is authorized to prescribe . Whether or not a midwife may perform and repair an episiotomy or suture lacerations would depend on whether these services are generally provided in connection with normal childbirth . These amendments remove requirements and limitations related to the types and circumstances of services for which nurse – midwives may claim Medicaid payment .