I just looked it up, and I guess some CNMs can except Medicaid. I seem to remember a CNM home midwife in Muskegon when I was looking for myself that was willing to work with insurance companies. I don't know if she excepts Medicaid or not. As you call around though. I would ask if they offer a sliding scale. It's hard to work in birth. The cost of supplies and training is higher than what people are able to pay here in Michigan.