The procedure applies exclusively in cases where midwives with professional training that does not meet the criteria for automatic recognition of qualification provided by Directive no. 2005/36/EC obtained in another EU Member State, an EEA state or in the Swiss Confederation travel to the territory of Romania to temporarily or occasionally perform midwifery activities.

Particularities:

The temporary or occasional nature of providing professional midwifery activities is determined, on a case-by-case basis, by the Romanian Order of General Nurses, Midwives and Medical Assistants (OAMGMAMR), depending on their duration, frequency, periodicity, and continuity.

During the provision of services, the respective midwives:

• practice the profession on the territory of Romania with the professional title provided by law for the respective midwifery profession;
• are exempt from the obligation to register with OAMGMAMR and from paying the membership fee.
• are automatically registered with OAMGMAMR during the period they provide midwifery services;
• are subject to professional, regulatory or administrative provisions regarding professional qualifications and the use of titles, provisions regarding serious professional misconduct that directly and specifically affects the protection and safety of the beneficiaries of the provided services, as well as disciplinary provisions provided by law for Romanian citizen midwives, members of OAMGMAMR;
• are exempt from the accreditation procedure provided by the health insurance legislation. Midwives providing services are required to inform in advance the National Health Insurance House about the services they intend to provide on the territory of Romania, and in case of emergency, within a maximum of 7 days from providing these services.
  

Procedure description:

I. At the first provision of services in Romania, OAMGMAMR may verify the professional training of the midwife in order to avoid causing serious damage to the health of the patient, due to the lack of professional qualification of the provider and without exceeding the necessary for this purpose. Within 30 days from the date of receiving the declaration and all the indicated documents, the OAMGMAMR Commission for the recognition of qualifications of general nurses, midwives and medical assistants obtained in another EU member state, in a state belonging to the EEA or in the Swiss Confederation analyzes the applicant's professional training. Based on its conclusions, the President approves the method of resolving the applicant's request, respectively:

*not to verify the provider's qualification, authorizing the temporary provision of midwifery services in Romania and the provider's automatic temporary registration with OAMGMAMR.

*after verifying the qualification:

1) to require the applicant to pass an aptitude test, or

2) to automatically temporarily register them with OAMGMAMR and to authorize the temporary provision of midwifery services in Romania.

In cases where, during the verification of the applicant's qualification, situations may arise that lead to delays in making a decision, OAMGMAMR notifies the applicant, within the aforementioned 30-day term, of the reasons for the delay.

The identified situations are resolved within 30 days from notification, and the decision is finalized within 60 days from the resolution of these situations.

The aptitude test applies when a significant difference is found between the midwife qualification of the service provider and the midwifery training required in Romania, insofar as this difference may negatively affect public health and cannot be compensated by the applicant's professional experience as well as the knowledge, skills, and competences acquired through lifelong learning, formally validated by a relevant body for this purpose. Following the aptitude test taken by the respective midwife, OAMGMAMR decides whether the service can be provided by her, and the provision of services can be performed within 30 days from the date of the decision.

The temporary authorization of midwifery service provision and the corresponding automatic temporary registration with OAMGMAMR are communicated to the applicant and the OAMGMAMR branch in the territorial area of the healthcare unit where the applicant will provide these services in Romania.

II. In case of renewal of the declaration, after verifying the temporary and occasional nature of the provision of services by the OAMGMAMR Commission for the recognition of professional qualifications of general nurses, midwives and medical assistants obtained in another EU Member State, in a state belonging to the EEA or in the Swiss Confederation, the President approves the temporary authorization of midwifery service provision and the corresponding automatic temporary registration of the applicant with OAMGMAMR, within 30 days from the receipt of the declaration.

These are communicated to the applicant and the OAMGMAMR branch in the territorial area of the healthcare unit where the applicant will provide the respective midwifery services in Romania.