Fees, Filing Structure, and Timeline for the CML Challenge Program

Midwife-applicant has one year from date of application to complete the CML Challenge Program, including the CML Challenge Examination (extensions may be granted if exam retakes are necessary). Fees may be paid by check or money order sent to NMI, or through the NMI website, CA Challenge, Payment Portal.

Midwife-applicants may make payments in the following ways:

  1. By mail: Send us a check or money order by postal mail to NMI, PO Box 863, Middlebury, VT 05753.

  2. On our website: Midwife-applicants may make payments through our website (see below) by adding fee amounts to their cart. Checkout with a debit card or credit card (Visa, MasterCard, American Express, and Discover).

Fee Structure

Midwife-applicants agree to make fee payments at the initiation of each step of the CML Challenge application process. All CML Challenge fees are non-refundable. CML Challenge fees total $7,500 as follows: 

Step 1 - CML Challenge $2,500

$2,500 paid with submission of the following NMI CML Challenge forms (please refer to forms for completion instructions):

  • NMI CML Challenge Program Application

  • Midwife-Applicant NARM Records Release

  • Verification of Midwifery Credential

  • Academic Transcripts Have Been Requested

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Step 2 - CML Challenge $3,000

$3,000 paid with submission of the following NMI CML Challenge forms (please refer to forms for completion instructions):

  • Academic Source Documents

  • Gap Analysis Chart of Completed Academic Study (including annotated academic source documents)

  • Applicant’s Experience for Verification

  • Physician Verifier Information and Agreement

  • Midwife Verifier Information and Agreement

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Step 3 - CML Challenge $2,000

$2,000 paid to register for the NMI CML Challenge Written Examination. Upon receipt of payment, CML Challenge Administrator will email midwife-applicant a confirmation, including next exam date and location details.

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